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IVIENSAN MANALO, M.D.

M.D.

Dermatology Physician

NPI: 1730542879IndividualAccepts Medicare

Specialties, Licenses & Credentials

Dermatology PhysicianPrimary

Dermatology

Code: 207N00000X

85708(GA)

CMS Specialties

Education

MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE

Class of 2016

Contact & Hours

Address
875 JOHNSON FY RD NE STE 300
ATLANTA, GA 30342

Quick Facts

NPI
1730542879
Entity Type
Individual
Gender
Female
Medicare
Accepted
Specialties
1
Locations
1
Years in Practice
10

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