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Individual

LINDSEY HALL MANGUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
2129 HELTON DR, FLORENCE, AL 35630-1069
(256) 980-6214
(256) 284-7264
Mailing address
2129 HELTON DR, FLORENCE, AL 35630-1069
(256) 980-6214
(256) 284-7264

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1142
AL
363AM0700X
Medical Physician Assistant
1703
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1522323
TN
05
209151
AL
Enumeration date
02/17/2009
Last updated
10/25/2021
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