Individual
DR. M DENISE POLLARD-MANIGAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2015 UPPER GATE DR NE, ATLANTA, GA 30322-1014
(404) 785-3864
Mailing address
2015 UPPER GATE DR NE, ATLANTA, GA 30322-1014
(404) 785-3864
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
F381487
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
RN234981
GA
Other
Enumeration date
09/15/2009
Last updated
01/30/2019
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