Individual
DR. JOHN ROBERT MANFREDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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