Individual
BHARGAVI MANTHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
1505 NORTHSIDE BLVD STE 2000, CUMMING, GA 30041-6205
(770) 781-4010
(770) 781-5334
Mailing address
1505 NORTHSIDE BLVD STE 2000, CUMMING, GA 30041-6205
(770) 781-4010
(770) 781-5334
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
14135
GA
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
05/12/2026
Last updated
07/10/2026
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