Individual
ALEX MANZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
150 BOBBY DODD WAY NW, ATLANTA, GA 30332-2500
(404) 894-5400
Mailing address
8199 BROOKWOOD VALLEY CIR NE, ATLANTA, GA 30309-1458
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT003990
GA
Other
Enumeration date
07/23/2021
Last updated
07/23/2021
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