Individual
ALLISON MANGUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1780 PEACHTREE PKWY STE 302, CUMMING, GA 30041-6834
(770) 772-1830
Mailing address
1780 PEACHTREE PKWY STE 302, CUMMING, GA 30041-6834
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN223122
GA
Other
Enumeration date
11/01/2023
Last updated
11/01/2023
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