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Organization
MANTILLA SURGICAL COLORECTAL & PELVIC HEALTH PC
Active
Organization
MANTILLA SURGICAL COLORECTAL & PELVIC HEALTH PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHALIE MANTILLA MD, MPH (PRESIDENT/CEO)
(312) 927-5299
Entity
Organization
Contact information
Practice address
1109 MEDICAL CENTER DR STE 3, AUGUSTA, GA 30909-6644
(312) 927-5299
Mailing address
728 MICHAELS CRK, EVANS, GA 30809-4042
(312) 927-5299
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
—
NULL
208C00000X
Colon & Rectal Surgery Physician
Primary
—
—
Other
Enumeration date
09/08/2026
Last updated
10/09/2026
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