Makayla Mangram, ATC

NPI 1477138105 · on the registry since 2021

Practice

Address: 3590 Braselton Hwy Ste 102
Dacula, GA 30019
Phone: (770) 271-1488
Fax: (770) 271-1822
Organisation at this address: Samuel S Kwon Dmd Pc
Samuel S. Kwon,Dmd-Iv Center Pc
Van Derhei Implant And Prosthetics
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 8

Registry record

Primary taxonomy: Athletic Trainer
2255A2300X
Licence states on file: GA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2021-03-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia