Individual
MANMOHAN GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
770 PINE ST, SUITE 440, MACON, GA 31201-2173
(478) 741-4588
(478) 741-4589
Mailing address
PO BOX 13026, 770 PINE STREET SUITE 440, MACON, GA 31208-3026
(478) 741-4588
(478) 741-4589
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
023976
GA
Other
Enumeration date
08/24/2006
Last updated
07/08/2007
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