Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DEDRIC MARVIN MANGUM
Active Sole ProprietorDEDRIC MARVIN MANGUM is a Bus healthcare provider located in ROXBORO, North Carolina. NPI 1740859909 is currently active in the NPPES registry. Verify at CMS.
Bus · ROXBORO, NC
Registration Details
- NPI Number
- 1740859909
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 22, 2021 (5.1851469829797 yrs)
- Last Updated
- Jun 22, 2021
- Sole Proprietor
- Yes
Practice Information
- Address
-
178 ISAAC TRLROXBORO, NC, 275749086Browse NC providers · Browse ZIP 27574
- Phone
- 3365923989
- Primary Specialty
-
Bus
343900000X
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.