Mangram, Makala Clinch
Mangram, Makala Clinch is an sole proprietor health care provider with primary practice located at 700 Coastal Village Dr , Brunswick GA 31520-1974. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Mangram, Makala Clinch can be contacted via phone (912) 230-3047.Contact Information
Primary practice address
700 Coastal Village Dr
Brunswick GA 31520-1974
Phone: (912) 230-3047
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | RN300259 | Georgia |
Profile Details
| NPI number | 1952115743 |
|---|---|
| LBN Legal business name | Mangram, Makala Clinch |
| Credentials | PMHNP-BC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 3rd, 2025 |
| Last updated | Feb 3rd, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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