Individual
JOSEPH J MANGRAVITI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1305 REDMOND CIR NW, BUILDING 103 - CLINICAL DIRECTOR'S OFFICE, ROME, GA 30165-1345
(706) 295-6285
Mailing address
1305 REDMOND CIR NW, BUILDING 103 - CLINICAL DIRECTOR'S OFFICE, ROME, GA 30165-1345
(706) 295-6285
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
23184
GA
Other
Enumeration date
07/07/2006
Last updated
07/08/2007
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