Individual
NELSON J MANGIONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 STONECREST BLVD, SUITE 410, SMYRNA, TN 37167
(615) 832-8731
(615) 833-5178
Mailing address
397 WALLACE ROAD, SUITE 216, NASHVILLE, TN 37211
(615) 832-8731
(615) 833-5178
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
21023
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3706183
—
TN
Enumeration date
10/19/2006
Last updated
07/08/2007
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