Individual
ANNA MARIA MANGRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
102 DOCTORS DR, DOTHAN, AL 36301-2911
(334) 793-8804
(334) 699-4473
Mailing address
201 CORMAN AVE, TROY, AL 36081-3816
(334) 733-3361
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2120
AL
Other
Enumeration date
10/21/2022
Last updated
06/16/2023
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