Shane C Mangrum in Atlanta - Rehabilitation Practitioner
Shane C Mangrum - NPI 1891796595
Shane C Mangrum is a Rehabilitation Practitioner in Atlanta, Georgia. Shane C Mangrum practices all healthcare services and medical treatments related to Rehabilitation Practitioner. The NPI Number for Shane C Mangrum is 1891796595. The last update date is 2015-04-14.
Shane C Mangrum's current location address is 1150 Hammond Dr, Atlanta, Georgia. You can contact this provider via phone number 4042562633 and fax number 4042556532. The mailing address for Shane C Mangrum is 1150 Hammond Dr, Atlanta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shane C Mangrum |
|---|---|
| Address | 1150 Hammond Dr, Atlanta, Georgia |
| Phone Number | 4042562633 |
| Fax Number | 4042556532 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1891796595 |
|---|---|
| Provider Enumeration Date | 2005-08-03 |
| Last Updated Date | 2015-04-14 |
Provider Mailing Address Detail
| Address | 1150 Hammond Dr |
|---|---|
| City | Atlanta |
| State | Georgia (GA) |
| Post Code | 303285334 |
| Phone Number | 4042562633 |
| Fax Number | 4042556532 |
Provider's Primary Taxonomy Detail
| Speciality | Rehabilitation Practitioner |
|---|---|
| Taxonomy | 225400000X |
| Licence No | M9189 |
|
Definition: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 807178100 | ID | -- |
Post Comment/ Review Below
What is the Shane C Mangrum's 1891796595?
The Shane C Mangrum's NPI (National Provider Identifier) Number is 1891796595. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Shane C Mangrum's facilities are situated?
The facilities of Shane C Mangrum are physically located at the following address: 1150 Hammond Dr, Atlanta, GA, 303285334.
What is Shane C Mangrum's area of expertise and its corresponding taxonomy classification?
The Shane C Mangrum's field of specialization is Rehabilitation Practitioner, and it falls under the taxonomy code 225400000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Shane C Mangrum receive its 1891796595 assignment from the Centers for Medicare & Medicaid Services?
The Shane C Mangrum was assigned its 1891796595 by the Centers for Medicare & Medicaid Services on 2005-08-03.
As of what date were the details related to Shane C Mangrum most recently updated or revised?
The information pertaining to Shane C Mangrum, including its address, specialty, and other relevant details, was last updated or revised on 2015-04-14.