Individual
DR. RAJU MANGA VANAPALLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1115 MOUNT ZION RD, SUITE J, MORROW, GA 30260-2266
(770) 968-7421
(770) 960-0078
Mailing address
1115 MOUNT ZION RD, SUITE J, MORROW, GA 30260-2266
(770) 968-7421
(770) 960-0078
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
22656
GA
Other
Enumeration date
04/27/2006
Last updated
10/10/2007
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