Individual
LAURIE ELLEN MANGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3 REESE ST, NEWNAN, GA 30263-2613
(770) 714-1588
Mailing address
1391 NW 136TH AVE, SUNRISE, FL 33323-2800
(470) 686-9396
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
RN162180
GA
Other
Enumeration date
01/25/2022
Last updated
01/25/2022
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