Individual
MRS. CHARLENE MANGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 WOODRUFF RD STE A3, GREENVILLE, SC 29607-5732
(864) 272-3432
(864) 272-3435
Mailing address
1200 WOODRUFF RD STE A3, GREENVILLE, SC 29607-5732
(864) 272-3432
(864) 272-3435
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
72030
SC
163WA2000X
Administrator Registered Nurse
72030
SC
163WC0400X
Case Management Registered Nurse
Primary
72030
SC
Other
Enumeration date
11/10/2021
Last updated
11/10/2021
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