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Shane C Mangrum, MD
Pain Medicine (Physical Medicine & Rehabilitation) Physician in Atlanta, Georgia
NPI 1891796595

Shane C Mangrum is a Pain Medicine (Physical Medicine & Rehabilitation) Physician based in Atlanta, GA and is specialized in Pain Medicine. Shane C Mangrum practices in Atlanta, GA and has the professional credentials of MD. The NPI Number for Shane C Mangrum is 1891796595 and holds a License No. M9189 (Georgia).

The current practice location address for Shane C Mangrum is 1150 Hammond Dr, Atlanta, GA and can be reached out via phone at 404-256-2633 and via fax at 404-255-6532.

Location: 1150 Hammond Dr, Atlanta, GA, 30328-5334
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891796595
Provider Name
Shane C Mangrum
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1150 Hammond Dr, Atlanta, GA, 30328-5334
Phone Number
404-256-2633
Fax Number
404-255-6532
Provider Enumeration Date
08/03/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
807178100 05 ID
institution
Provider Business Practice Location Address Details
Address
1150 Hammond Dr
City
Atlanta
State
Georgia
Zip
30328-5334
Phone Number
404-256-2633
Fax Number
404-255-6532
person
Provider Business Mailing Address Details
Address
1150 Hammond Dr
City
Atlanta
State
Georgia
Zip
30328-5334
Phone Number
404-256-2633
Fax Number
404-255-6532
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Physical Medicine & Rehabilitation
Speciality
Pain Medicine
Taxonomy
2081P2900X
License No.
73026 (Georgia)
Definition
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
person
Provider's Taxonomy Details 2
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Rehabilitation Practitioner
Speciality
-
Taxonomy
225400000X
License No.
M9189 (Idaho)
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
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