Search › Georgia › 171R00000X
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