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Tyrone Mangum

NPI 1669279287 · on the registry since 2025 · sole proprietor

Practice

Address
7136 Tanger Blvd
Riverdale, GA 30296
Phone
(919) 812-8441

Registry record

Primary taxonomy
171R00000X
171R00000X
Also registered as
171W00000X
Sex
Male
Record last updated
2025-03-01

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