Dedric Marvin Mangum
Dedric Marvin Mangum is a Non-emergency Medical Transport (VAN) in Roxboro, North Carolina. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
178 Isaac TrlRoxboro, NC 27574-9086
Phone: (336) 592-3989
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Non-emergency Medical Transport (VAN) (primary) | Taxonomy 343900000X |
|---|
Record details
| NPI number | 1740859909 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 22, 2021 |
| Last updated in NPPES | June 22, 2021 |
| Certification date | June 22, 2021 |
| Mailing address | 178 Isaac Trl, Roxboro, NC 27574-9086 |
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