Individual
BOB B. MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
775 POPLAR RD, SUITE 160, NEWNAN, GA 30265-8300
(770) 470-0463
(678) 423-2737
Mailing address
775 POPLAR RD, SUITE 160, NEWNAN, GA 30265-8300
(770) 470-0463
(678) 423-2737
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
023185
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
023185
GEORGIA MEDICAL LICENSE
GA
Enumeration date
12/01/2005
Last updated
11/01/2012
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