Individual
MANJUSHREE GHOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1595 CLEVELAND AVE, EAST POINT, GA 30344-3200
(404) 616-2886
(404) 209-1769
Mailing address
75 PIEDMONT AVE, SUITE 700, ATLANTA, GA 30303-2544
(404) 616-1776
(404) 241-7162
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
042827
GA
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
042827
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00821631
—
GA
Enumeration date
07/26/2005
Last updated
10/07/2011
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