Individual
DR. MAFAZ MANSOOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2501 N PATTERSON ST, VALDOSTA, GA 31602-1735
(229) 433-4178
Mailing address
8400 BENECIA CT, ALEXANDRIA, VA 22309-1623
(202) 751-0959
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/07/2025
Last updated
04/07/2025
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