42D1051432 CLIA NUMBER - DORA ANGUELOVA MD PHD PA DBA MAGNOLIA GENERAL MEDICINE

Laboratory Demographics

CLIA Number: 42D1051432

Facility Name: DORA ANGUELOVA MD PHD PA DBA MAGNOLIA GENERAL MEDICINE

Facility Address:
4914 HWY 17 BYPASS
MURRELLS INLET, SC
ZIP 29576
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Facility Phone Number: 843 357-6734

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1295798999

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name Field Value
CLIA Number 42D1051432
LAB Type Physician Office
Facility Name DORA ANGUELOVA MD PHD PA DBA MAGNOLIA GENERAL MEDICINE
Street 4914 HWY 17 BYPASS
City MURRELLS INLET
State SC
ZIP 29576
Phone 843 357-6734
CertificateType 4
CertificateEffectiveDate 3/2/2024
CertificateExpirationDate 3/1/2026
FacilityType Waiver

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This page was last updated on: 4/23/2024