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Corrie Mangan
NPI 1538532817 · on the registry since 2015 · sole proprietor
Practice
- Address
- 109 Ashwood Way
Saint Simons Island, GA 31522 - Phone
- (405) 818-7054
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-11-09
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