Individual
DR. PAUL DANIEL MANGUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
1150 S MILLEDGE AVE, #3, ATHENS, GA 30605-6723
(706) 546-0255
(706) 548-6648
Mailing address
1150 S MILLEDGE AVE, #3, ATHENS, GA 30605-6723
(706) 546-0255
(706) 548-6648
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
526
GA
Other
Enumeration date
01/30/2007
Last updated
07/09/2007
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