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Contact Information

SOPHY H MANGANA, MD
301 S 28TH AVE
HATTIESBURG, MS39401-7233
 Phone: 601-288-1700
 Fax: 601-288-1715
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for SOPHY H MANGANA · (Female)

NPI # 1164685004
Status Active
Credentials MD
Entity Individual
Enumeration date 07/09/2008
Last updated 07/03/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 125053930
  • MS License # 22147
  • AL Medicaid 141656
  • MS Medicaid 02486090
  • MS Other P01454791 RAILROAD MEDICARE PTAN
Hospital affiliation(s)
  • FORREST GENERAL HOSPITAL - (Acute Care)
    6051 US HIGHWAY 49
    HATTIESBURG, MS 39404
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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