Individual
MARY K MANGIONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
110 LONGFORD CT, LEXINGTON, SC 29072-6747
(803) 254-5485
Mailing address
110 LONGFORD CT, LEXINGTON, SC 29072-6747
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
22974
SC
Other
Enumeration date
06/26/2019
Last updated
01/21/2022
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