Mangrum, James M.

Mangrum, James M. is an individual health care provider with primary practice located at 1215 Lee St , Charlottesville VA 22908-0001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. Mangrum, James M. can be contacted via phone (434) 924-0211.

Contact Information

Primary practice address
1215 Lee St Charlottesville VA 22908-0001
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 0101227648 Virginia
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X 0101227648 Virginia

Profile Details

NPI number 1215006846
LBN Legal business name Mangrum, James M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2006
Last updated Aug 10th, 2023 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1215006846 NPPES
Virginia MEDICAID 1215006846

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