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DR. MAE JEAN ENGLEE M.D.
>> Family Medicine >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1629022785
Individual Registrant:DR. MAE JEAN ENGLEE M.D.
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
1 HICKMAN STREET AGAPE PHYSICIANS CARE GRANITEVILLE, SC 29829-2955 US
Tel: 803-663-9224 Fax: 803-663-8893
Tel: 803-663-9224 Fax: 803-663-8893
Contact information for business:
1 HICKMAN ST GRANITEVILLE, SC 29829-2955 US
Tel: 803-663-9224 Fax: 803-663-8893
Tel: 803-663-9224 Fax: 803-663-8893
Registration Information:
NPI: 1629022785
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 207Q00000X | Allopathic & Osteopathic Physicians Family Medicine | SC | 27455 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 274553 | SC | 05 |
