Stephen Mange

NPI #1104851880 in Davidson, North Carolina

Provider Information

NPI Number: 1104851880
Entity Type: Individual
Name: Stephen Mange
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Enumeration Date: Jul 11, 2006
Last Updated: Feb 12, 2019

Practice Location

Address: 705 GRIFFITH ST
Address 2: SUITE 100
City: Davidson
State: North Carolina
ZIP Code: 28036-9304
Phone: (704) 801-7900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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