NPI 1124853510

Jerrell Manghane

Practitioner Private Vehicle Chattanooga, TN

Practice location

Address: 3502 Ohls Ave, Chattanooga, TN 37410-1340
Phone: (423) 490-5159

Registered specialties

Private Vehicle Primary

Transportation Services Taxonomy 347C00000X

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Registry record

NPI: 1124853510
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Sep 2024
Record last updated: 17 Sep 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.