Mangram, Makayla Forrest
Mangram, Makayla Forrest is an individual health care provider with primary practice located at 3590 Braselton Hwy Ste 102 , Dacula GA 30019-1120. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Mangram, Makayla Forrest can be contacted via phone (770) 271-1488.Contact Information
Primary practice address
3590 Braselton Hwy Ste 102
Dacula GA 30019-1120
Phone: (770) 271-1488
Fax: (770) 271-1822
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | AT003303 | Georgia |
Profile Details
| NPI number | 1477138105 |
|---|---|
| LBN Legal business name | Mangram, Makayla Forrest |
| Credentials | Athletic Trainer, Certified (ATC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 15th, 2021 |
| Last updated | Mar 15th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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