Individual
DR. MICHAEL MANGONON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4775 JIMMY CARTER BLVD STE 201, NORCROSS, GA 30093-3760
(470) 305-0848
(470) 305-1110
Mailing address
3245 PEACHTREE PKWY STE D, #246, SUWANEE, GA 30024-6008
(470) 305-0848
(470) 305-1110
Taxonomy
Speciality
Code
Description
License number
State
2086S0105X
Surgery of the Hand (Surgery) Physician
Primary
72644
GA
Other
Enumeration date
01/07/2009
Last updated
11/16/2025
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