Individual
DR. JYOTI MANEKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3790 PLEASANT HILL RD STE 250, DULUTH, GA 30096-5150
(678) 312-6200
(678) 312-6226
Mailing address
3790 PLEASANT HILL RD STE 250, DULUTH, GA 30096-5150
(678) 312-6200
(678) 312-6226
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
57099
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08CBCNJ
MEDICARE PART B
GA
01
—
2653535
UNITED HEALTH CARE
GA
01
—
332767
WELLCARE OF GEORGIA
GA
01
—
52209884-001
BCBS OF GEORGIA
GA
01
—
5240401P01
CIGNA
GA
05
—
577079261B
—
GA
01
—
7144975
AETNA
GA
01
—
793647
HUMANA
GA
Enumeration date
07/09/2006
Last updated
02/19/2024
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