Individual
DR. MELISSA COLE MANGOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
803 POPLAR ST, MURRAY, KY 42071-2432
(270) 762-1100
Mailing address
300 S 8TH ST STE 480W, MURRAY, KY 42071-2403
(270) 753-0704
(270) 752-2852
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
28824
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000050544
BLUE CROSS
KY
05
—
64288244
—
KY
Enumeration date
06/01/2006
Last updated
08/03/2023
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