Individual
MANOUCHKA TULIA JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4040 HOSPITAL WEST DR, AUSTELL, GA 30106
(770) 732-6798
(770) 732-6732
Mailing address
805 SANDY PLAINS ROAD, MEDICAL STAFF SERVICES, MARIETTA, GA 30066-6340
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
260440
NY
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
260440
NY
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
66512
GA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
V9493
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/10/2010
Last updated
05/14/2026
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