Carole L Mangrem
M.D. | Pediatrics | Female
Carole L Mangrem, M.D. is a Clarksdale, Mississippi based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Carole L Mangrem is
2245 N Starte St, Clarksdale, Mississippi - 38614. She can be contacted on phone at
662-627-4131 and fax number 662-627-2702.
Carole L Mangrem is a sole proprietor of her business.
NPI number (Unique professional ID) for Carole L Mangrem is
1497888457 which was assigned by NPPES on 13 Mar, 2007 and it was last updated on 08 Jul, 2007.
Carole L Mangrem license number is
07191 for Pediatrics (208000000X) in Mississippi.
Carole L Mangrem is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Carole L Mangrem basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Carole L Mangrem |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Carole L Mangrem address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 2245 N Starte St
Clarksdale, MS, 38614
United States |
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| Phone Number : | 662-627-4131 |
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| Fax Number : | 662-627-2702 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1497888457 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 13 Mar, 2007 |
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| Last Updated On : | 08 Jul, 2007 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Carole L Mangrem are as mentioned. Primary taxonomy code for Carole L Mangrem, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 07191 | MS |
Legacy Identifiers:
Other legacy medical identifiers of Carole L Mangrem such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 00114140 | MEDICAID | MS | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 1447
Clarksdale, MS, 38614-1447
United States |
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| Phone Number : | 662-627-4131 |
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| Fax Number : | 662-627-2702 |
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Business Location:
Patients can refer following map for directions to
Carole L Mangrem practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.