SearchSouth Carolina390200000X

Jacob Mangione

NPI 1811819188 · on the registry since 2026 · sole proprietor

Practice

Address
220 Cherokee Pond Ct
Lexington, SC 29072
Phone
(803) 609-6597

Registry record

Primary taxonomy
390200000X
390200000X
Also registered as
363A00000X
Licence states on file
SC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-07-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina