Individual
DR. SHARON A MANGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
517 MOYE BLVD FL 2, ECU PHYSICIANS PEDIATRICS, GREENVILLE, NC 27834-2849
(252) 744-3538
(252) 744-0392
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069
(252) 744-3253
(252) 744-3194
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
9601392
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
370015134
RAILROAD MEDICARE
NC
01
—
53841
BCBS NC
NC
05
—
8953841
—
NC
Enumeration date
08/25/2005
Last updated
11/29/2011
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