Individual
DR. CHARLITA MANGRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1021 W HAMLET AVE, SUITE#5, HAMLET, NC 28345-4523
(910) 582-5166
(910) 582-5168
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-7840
(704) 384-7830
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
200401535
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
138KX
BCBS INDIV
NC
01
—
89016EO
CAROLINA ACCESS
NC
05
—
89138KX
—
NC
05
—
N01535
—
SC
01
—
P00267476
RAILROAD MEDICARE
NC
01
—
P00687321
RR MEDICARE
NC
Enumeration date
10/13/2005
Last updated
06/09/2009
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