Carole L Mangrem, MD | |
2245 N Starte St, Clarksdale, MS 38614 | |
(662) 627-4131 | |
(662) 627-2702 |
Full Name | Carole L Mangrem |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 2245 N Starte St, Clarksdale, Mississippi |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497888457 | NPI | - | NPPES |
00114140 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 07191 (Mississippi) | Primary |
Mailing Address | Practice Location Address |
---|---|
Carole L Mangrem, MD Po Box 1447, Clarksdale, MS 38614-1447 Ph: (662) 627-4131 | Carole L Mangrem, MD 2245 N Starte St, Clarksdale, MS 38614 Ph: (662) 627-4131 |
Dorcas Poni Eshun, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 800 Ohio Ave, Clarksdale, MS 38614 Phone: 662-624-2504 | |
Peggy J Wells, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2245 N State St, Clarksdale, MS 38614 Phone: 662-627-4131 Fax: 662-627-2702 |