EBOT MANGA

Family Nurse Practitioner

NPI: 1164920716IndividualAccepts Medicare

Specialties, Licenses & Credentials

Family Nurse PractitionerPrimary

Nurse Practitioner — Family

Code: 363LF0000X

147685(GA)

CMS Specialties

PrimaryNURSE PRACTITIONER

Education

OTHER

Class of 2016

Contact & Hours

Address: 2064 LILAC ARBOR WAY
DACULA, GA 30019
Phone: (678) 887-4367

Quick Facts

NPI: 1164920716
Entity Type: Individual
Gender: Male
Medicare: Accepted
Specialties: 1
Locations: 1
Years in Practice: 10

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