Individual
EBOT B MANGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2064 LILAC ARBOR WAY, DACULA, GA 30019-2475
(678) 887-4367
Mailing address
2064 LILAC ARBOR WAY, DACULA, GA 30019-2475
(678) 887-4367
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
147685
GA
Other
Enumeration date
01/29/2018
Last updated
07/20/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us