Individual
CHRISTOPHER MANGUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1806 E 1ST ST APT R9, GREENVILLE, NC 27858-2214
(919) 264-5361
Mailing address
1806 E 1ST ST APT R9, GREENVILLE, NC 27858-2214
(919) 264-5361
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
34550469
NC
Other
Enumeration date
07/08/2020
Last updated
07/08/2020
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