CARL H MANGUM

JACKSON, MS
NPI1447647946
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: MS  2012015018)
Enumeration Date2015-04-22
Last Update Date2015-06-03
Business Address
MR. CARL H MANGUM PHD, NP, RN
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-815-4128
Mailing Address
MR. CARL H MANGUM PHD, NP, RN
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-815-4128
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