| Dr George Mark Mangle, DO, DPM | |
|
217 College St, Whiteville, TN 38075-4819 | |
| (731) 254-9001 | |
| (731) 254-9955 |
| Full Name | Dr George Mark Mangle |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 19 Years |
| Location | 217 College St, Whiteville, Tennessee |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639193311 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 20881 (Mississippi) | Primary |
| 207R00000X | Internal Medicine | DO0000001690 (Tennessee) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Dominic-jackson Memorial Hospital | Jackson, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ut Regional One Physicians Inc | 5698993418 | 298 |
| Case Management Inc | 5991807570 | 6 |
| Rh Mississippi Hospitalist Medicine Llc | 0547791873 | 64 |
| Entity Name | Blue Ridge Medical Management Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144380833 PECOS PAC ID: 9739099441 Enrollment ID: O20031204000996 |
| Entity Name | Case Management Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326116476 PECOS PAC ID: 5991807570 Enrollment ID: O20070228000467 |
| Entity Name | Southeastern Physician Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083835441 PECOS PAC ID: 0042307852 Enrollment ID: O20071025000571 |
| Entity Name | App Of Tennessee Hm, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396160768 PECOS PAC ID: 5395960694 Enrollment ID: O20140630001088 |
| Entity Name | Ut Regional One Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093130585 PECOS PAC ID: 5698993418 Enrollment ID: O20140820000662 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr George Mark Mangle, DO, DPM 217 College St, Whiteville, TN 38075-4819 Ph: (731) 254-9001 | Dr George Mark Mangle, DO, DPM 217 College St, Whiteville, TN 38075-4819 Ph: (731) 254-9001 |