Individual
DR. ALOYSIUS T MANGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
615 E VILLANOW ST, LA FAYETTE, GA 30728-2618
(706) 638-6018
(706) 638-5990
Mailing address
615 E VILLANOW ST, LA FAYETTE, GA 30728-2618
(706) 638-6018
(706) 638-5990
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
15023
GA
Other
Enumeration date
02/22/2006
Last updated
08/09/2012
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