MEDICARE: DR. JOSEPH KWESI WANGEH MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	27518	SC

General Provider Information

NPI Number	:	1902826050
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSEPH KWESI WANGEH MD

Provider Business Mailing Address
First Line	:	PO BOX 3239
Second Line	:
City	:	FLORENCE
State	:	SC
Zip	:	29502-3239
Country	:	US
Telephone Number	:	843-777-7162
Fax Number	:	843-777-7102

Provider Business Practice Location Address
First Line	:	705 N 8TH AVE
Second Line	:	SUITE 3A
City	:	DILLON
State	:	SC
Zip	:	29536-2549
Country	:	US
Telephone Number	:	843-774-6091
Fax Number	:	843-841-3814

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/20/2006
Last Update Date	:	02/11/2021

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