Dr LINDA H MANGUM is a female medical professional, specializing in Nurse Practitioner. She graduated in 2002.
LAWRENCEVILLE PRIMARY CARE PC
203 SHARP ST
LAWRENCEVILLE
VA
238681615
Tel: 4348480771
| Npi | 1144352451 |
| Pac Id | 6103084546 |
| Professional Enrollment Id | I20120215000084 |
| Last Name | MANGUM |
| First Name | LINDA |
| Middle Name | H |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2002 |
| Primary Specialty | NURSE PRACTITIONER |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | LAWRENCEVILLE PRIMARY CARE PC |
| Group Practice Pac Id | 4385540715 |
| Number Of Group Practice Members | 3 |
| Line 1 Street Address | 203 SHARP ST |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | LAWRENCEVILLE |
| State | VA |
| Zip Code | 238681615 |
| Phone Number | 4348480771 |
| Hospital Affiliation Ccn 1 | 490098 |
| Hospital Affiliation Lbn 1 | COMMUNITY MEMORIAL HOSPITAL |
| Hospital Affiliation Ccn 2 | 490097 |
| Hospital Affiliation Lbn 2 | SOUTHERN VIRGINIA REGIONAL MEDICAL CENTER |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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