Organization
HEALTH AND HEALING MEDICAL SERVICES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEROGE MARK MANGLE D.O., D.P.M. (OWNER)
(901) 628-6684
Entity
Organization
Contact information
Practice address
217 COLLEGE ST, WHITEVILLE, TN 38075-4819
(731) 254-9001
(731) 254-9955
Mailing address
217 COLLEGE ST, WHITEVILLE, TN 38075-4819
(731) 254-9001
(731) 254-9955
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
DO0000001690
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3370122
MEDICARE PTAN
TN
Enumeration date
08/17/2007
Last updated
07/19/2010
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