Individual
DR. ROSALIND M MANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D, MBBS
Contact information
Practice address
150 E PONCE DE LEON AVE, SUITE 350, DECATUR, GA 30030-2543
(404) 577-9082
(404) 577-1828
Mailing address
1428 BENNING PL NE, ATLANTA, GA 30307-1624
(404) 577-9082
(404) 577-1828
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
22095
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00296986A
—
GA
Enumeration date
02/06/2008
Last updated
03/07/2023
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