Gloria Mangum Perry in Brandon - Family Medicine
Gloria Mangum Perry - NPI 1699986752
Gloria Mangum Perry is a Family Medicine in Brandon, Mississippi. Gloria Mangum Perry practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Gloria Mangum Perry is 1699986752. The last update date is 2015-11-05.
Gloria Mangum Perry's current location address is 107 Bridlewood Dr, Brandon, Mississippi. You can contact this provider via phone number 6019927168 and fax number 6019922352. The mailing address for Gloria Mangum Perry is 107 Bridlewood Dr, Brandon, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gloria Mangum Perry |
|---|---|
| Address | 107 Bridlewood Dr, Brandon, Mississippi |
| Phone Number | 6019927168 |
| Fax Number | 6019922352 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1699986752 |
|---|---|
| Provider Enumeration Date | 2007-05-24 |
| Last Updated Date | 2015-11-05 |
Provider Mailing Address Detail
| Address | 107 Bridlewood Dr |
|---|---|
| City | Brandon |
| State | Mississippi (MS) |
| Post Code | 390478302 |
| Phone Number | 6019927168 |
| Fax Number | 6019922352 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 12665 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 17860 | MS | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Gloria Mangum Perry by the Centers for Medicare & Medicaid Services?
The Gloria Mangum Perry has been assigned the NPI (National Provider Identifier) 1699986752 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Gloria Mangum Perry's facilities are geographically located?
The facilities of Gloria Mangum Perry are physically situated at the following location: 107 Bridlewood Dr, Brandon, MS, 390478302.
What is Gloria Mangum Perry's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Gloria Mangum Perry is Family Medicine, and the taxonomy code that categorizes this field of expertise is 207Q00000X.
When did the Gloria Mangum Perry receive its 1699986752?
The Gloria Mangum Perry was issued its 1699986752 on 2007-05-24, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Gloria Mangum Perry last refreshed?
The information related to the Gloria Mangum Perry, including its address, specialty, and other relevant details, was last updated on 2015-11-05.