Individual
HARVEY A MANNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1700 HOSPITAL SOUTH DR, SUITE 201, AUSTELL, GA 30106-6810
(770) 948-7228
(770) 745-1434
Mailing address
175 COUNTRY CLUB DR, BLDG 300, SUITE D, STOCKBRIDGE, GA 30281-9054
(678) 284-4040
(678) 284-4076
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
017703
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000116696D
—
GA
01
—
340010888
RAILROAD MEDICARE
GA
Enumeration date
09/02/2006
Last updated
03/07/2023
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