Individual
DR. JOHN ROBERT MANFREDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 COWLES CLINIC WAY # CY-200, GREENSBORO, GA 30642-5285
(770) 292-6500
(770) 292-6535
Mailing address
2000 HOWARD FARM DR STE 200, CUMMING, GA 30041-6081
(770) 292-6500
(770) 292-6535
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
58899
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11895561
CAQH NUMBER
—
Enumeration date
01/19/2007
Last updated
11/25/2024
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