Individual provider · Type 1 NPI

Jerrell Manghane

Private Vehicle · Chattanooga, TN

NPI number 1124853510 Active

Practice location

3502 Ohls Ave
Chattanooga, TN 37410-1340

Specialties and licenses

TaxonomyCodeLicense
Private Vehicle Primary 347C00000XNone listed

Private Vehicle: An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.

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About NPI 1124853510

Jerrell Manghane's National Provider Identifier is 1124853510, issued on Sep 4, 2024. The primary taxonomy on file is Private Vehicle (347C00000X), and the practice location is in Chattanooga, TN. The record was last updated on Sep 17, 2024.