Individual
LINDA H MANGUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
203 SHARP ST, LAWRENCEVILLE, VA 23868
(434) 848-0771
(434) 848-3814
Mailing address
946 SKIPWITH RD, BOYDTON, VA 23917-2100
(434) 738-6986
(434) 738-9521
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
0017138041
VA
Other
Enumeration date
03/12/2007
Last updated
07/08/2007
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