Paul Daniel Mangum is a Clinical in Athens, Georgia. Paul Daniel Mangum practices all healthcare services and medical treatments related to Clinical. The NPI Number for Paul Daniel Mangum is 1598801052. The last update date is 2007-07-09.
Paul Daniel Mangum's current location address is 1150 S Milledge Ave, Athens, Georgia. You can contact this provider via phone number 7065460255 and fax number 7065486648. The mailing address for Paul Daniel Mangum is 1150 S Milledge Ave, Athens, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Paul Daniel Mangum |
|---|---|
| Address | 1150 S Milledge Ave, Athens, Georgia |
| Phone Number | 7065460255 |
| Fax Number | 7065486648 |
| Sole Proprietor | Y |
| Credentials | PH.D |
NPI Number Detail
| NPI Number | 1598801052 |
|---|---|
| Provider Enumeration Date | 2007-01-30 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 1150 S Milledge Ave |
|---|---|
| City | Athens |
| State | Georgia (GA) |
| Post Code | 306056723 |
| Phone Number | 7065460255 |
| Fax Number | 7065486648 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 526 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique 10-digit identification code issued to Paul Daniel Mangum by the Centers for Medicare & Medicaid Services?
The Paul Daniel Mangum has been assigned the NPI (National Provider Identifier) 1598801052 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Paul Daniel Mangum located?
The Paul Daniel Mangum is located at 1150 S Milledge Ave, Athens, GA 306056723.
What is Paul Daniel Mangum's area of expertise and its corresponding taxonomy classification?
The Paul Daniel Mangum's field of specialization is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1598801052 assigned to Paul Daniel Mangum?
The Paul Daniel Mangum was issued its 1598801052 on 2007-01-30, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Paul Daniel Mangum last refreshed?
The information related to the Paul Daniel Mangum, including its address, specialty, and other relevant details, was last updated on 2007-07-09.
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