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Dedric Marvin Mangum
Non-emergency Medical Transport (VAN) in Roxboro, North Carolina
NPI 1740859909

Dedric Marvin Mangum is a Non-emergency Medical Transport (VAN) based in Roxboro, NC. Dedric Marvin Mangum practices in Roxboro, NC. The NPI Number for Dedric Marvin Mangum is 1740859909 and holds a License No. (North Carolina).

The current practice location address for Dedric Marvin Mangum is 178 Isaac Trl, Roxboro, NC and can be reached out via phone at 336-592-3989.

Location: 178 Isaac Trl, Roxboro, NC, 27574-9086
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740859909
Provider Name
Dedric Marvin Mangum
Credential
Provider Entity Type
Individual
Gender
Male
Address
178 Isaac Trl, Roxboro, NC, 27574-9086
Phone Number
336-592-3989
Fax Number
Provider Enumeration Date
06/22/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
178 Isaac Trl
City
Roxboro
State
North Carolina
Zip
27574-9086
Phone Number
336-592-3989
Fax Number
person
Provider Business Mailing Address Details
Address
178 Isaac Trl
City
Roxboro
State
North Carolina
Zip
27574-9086
Phone Number
336-592-3989
Fax Number
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Non-emergency Medical Transport (VAN)
Speciality
-
Taxonomy
343900000X
License No.
()
Definition
A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.
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