Mangum, Michele
Mangum, Michele is an individual health care provider with primary practice located at 701 Grove Rd , Greenville SC 29605-4210. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Mangum, Michele can be contacted via phone (864) 455-7000.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 200100262 | North Carolina |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 11868 | South Carolina |
Profile Details
| NPI number | 1417952169 |
|---|---|
| LBN Legal business name | Mangum, Michele |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 18th, 2005 |
| Last updated | Sep 5th, 2013 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417952169 | NPPES |
| South Carolina | MEDICAID | 118688 |
Popular Providers
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Trott, Millard Clinton
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