Candace D Mangum in Notasulga - Primary Care
Candace D Mangum - NPI 1407924384
Candace D Mangum is a Primary Care in Notasulga, Alabama. Candace D Mangum practices all healthcare services and medical treatments related to Primary Care. The NPI Number for Candace D Mangum is 1407924384. The last update date is 2009-06-08.
Candace D Mangum's current location address is Po Box 100, Notasulga, Alabama. You can contact this provider via phone number 3342571081 and fax number 3342571086. The mailing address for Candace D Mangum is Po Box 100, Notasulga, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Candace D Mangum |
|---|---|
| Address | Po Box 100, Notasulga, Alabama |
| Phone Number | 3342571081 |
| Fax Number | 3342571086 |
| Sole Proprietor | N |
| Credentials | CRNP |
NPI Number Detail
| NPI Number | 1407924384 |
|---|---|
| Provider Enumeration Date | 2006-12-01 |
| Last Updated Date | 2009-06-08 |
Provider Mailing Address Detail
| Address | Po Box 100 |
|---|---|
| City | Notasulga |
| State | Alabama (AL) |
| Post Code | 368660100 |
| Phone Number | 3342571081 |
| Fax Number | 3342571086 |
Provider's Primary Taxonomy Detail
| Speciality | Primary Care |
|---|---|
| Taxonomy | 363Lp2300X |
| Licence No | 1-090975 |
|
Definition: An advanced practice registered nurse expert in comprehensive, first contact primary healthcare for patients of all ages. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1164550489 | ORGANIZATIONAL NPI | ||
| 891017112 | AL | -- | |
| 51558482 | AL | PTAN |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Candace D Mangum by the Centers for Medicare & Medicaid Services?
The Candace D Mangum has been assigned the NPI (National Provider Identifier) 1407924384 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Candace D Mangum is geographically located?
The Candace D Mangum is physically situated at the following location: Po Box 100, Notasulga, AL, 368660100.
What is Candace D Mangum's area of expertise and its corresponding taxonomy classification?
The Candace D Mangum's field of specialization is Primary Care, and it falls under the taxonomy code 363Lp2300X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1407924384 assigned to Candace D Mangum?
The Candace D Mangum was issued its 1407924384 on 2006-12-01, 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 related to Candace D Mangum most recently updated or revised?
The information pertaining to Candace D Mangum, including its address, specialty, and other relevant details, was last updated or revised on 2009-06-08.
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