Individual
DR. JED PETER MANGAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
80 JESSE HILL JR DR SE, ATLANTA, GA 30303-3031
(404) 778-1369
Mailing address
6600 VAN AALST BLVD, FORT BENNING, GA 31905-2102
(516) 526-2556
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
91718
GA
2084P0800X
Psychiatry Physician
91718
GA
Other
Enumeration date
03/03/2014
Last updated
08/10/2023
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