Healthcare Provider Details
I. General information
NPI: 1710811708
Provider Name (Legal Business Name): MHO PRIMARY CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/12/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
105 E HUGH ST STE B
NORTH AUGUSTA SC
29841-2925
US
IV. Provider business mailing address
42 JUNIPER LOOP
AIKEN SC
29803-2640
US
V. Phone/Fax
- Phone: 803-767-4868
- Fax: 803-233-7202
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QP2300X |
| Taxonomy | Primary Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
MARK
HENRY
ORGEL
Title or Position: PHYSICIAN
Credential: MD
Phone: 803-767-4868