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Individual

ANUJ P MANOCHA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6001 PROFESSIONAL PKWY STE 2060, DOUGLASVILLE, GA 30134
(678) 741-5000
(770) 874-0528
Mailing address
711 CANTON RD NE STE 300, MARIETTA, GA 30060-8949
(678) 741-5000
(678) 819-4280

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
045876
GA
207RG0100X
Gastroenterology Physician
Primary
045876
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000799103A
GA
Enumeration date
02/08/2006
Last updated
05/31/2018
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