Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MAKAYLA FORREST MANGRAM, ATC
ActiveMAKAYLA FORREST MANGRAM, ATC is a Athletic Trainer healthcare provider located in DACULA, Georgia. NPI 1477138105 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · DACULA, GA
Registration Details
- NPI Number
- 1477138105
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 15, 2021 (5.3807957382587 yrs)
- Last Updated
- Mar 15, 2021
- License
-
AT003303 (GA)
Practice Information
- Address
-
3590 BRASELTON HWY STE 102DACULA, GA, 300191120Browse GA providers · Browse ZIP 30019
- Phone
- 7702711488
- Fax
- 7702711822
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in DACULA, GA
| Name | Credential | NPI |
|---|---|---|
| EUGENE DAVID PFAFF | ATC | 1952346702 |
| LANNY BRIAN LIGHTFOOT | M.S. | 1053596833 |
| MRS. ASHLEY ERIN BRANDT | ATC | 1164797023 |
| SARAH EMILY GREGORY | LAT, ATC | 1962913277 |
| MITCHELL DOUGLAS GILL | ATC | 1720546815 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.