MAKALA CLINCH MANGRAM

BRUNSWICK, GA
NPI1952115743
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: GA  RN300259)
Enumeration Date2025-02-03
Last Update Date2025-02-03
Business Address
MAKALA CLINCH MANGRAM PMHNP-BC
700 COASTAL VILLAGE DR
BRUNSWICK, GA 31520-1974
Phone number: 912-230-3047
Mailing Address
MAKALA CLINCH MANGRAM PMHNP-BC
11014 WOODLAND TRL
BRUNSWICK, GA 31525-1283
Phone number: