Organization
AMAZING FAMILY & HEALTHCARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EBOT B MANGA NP (CEO)
(678) 887-4367
Entity
Organization
Contact information
Practice address
3326 PAPYRUS PALM RD, LOGANVILLE, GA 30052-4836
(678) 887-4367
Mailing address
3326 PAPYRUS PALM RD, LOGANVILLE, GA 30052-4836
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/01/2023
Last updated
03/01/2023
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