Organization
MANEKAR MEDICAL CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JYOTI N MANEKAR MD (PRESIDENT)
(770) 351-0698
Entity
Organization
Contact information
Practice address
1430 FIVE FORKS TRICKUM RD, SUITE 220, LAWRENCEVILLE, GA 30044-8182
(770) 351-0698
(309) 422-8868
Mailing address
1430 FIVE FORKS TRICKUM RD, SUITE 220, LAWRENCEVILLE, GA 30044-8182
(770) 351-0698
(309) 422-8868
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
057099
GA
Other
Enumeration date
07/12/2007
Last updated
07/12/2007
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