Individual
DR. NEVILLA MANZANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3650 MANSELL RD, SUITE 310, ALPHARETTA, GA 30022-3012
(800) 562-8663
Mailing address
3650 MANSELL RD, SUITE 310, ALPHARETTA, GA 30022-3012
(800) 562-8663
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
149580-1
NY
Other
Enumeration date
07/17/2007
Last updated
07/17/2007
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