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Individual

DR. ROBERT MANIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4167 ROSWELL RD, ATLANTA, GA 30342-3715
(404) 252-5055
(404) 252-5589
Mailing address
4167 ROSWELL RD, ATLANTA, GA 30342-3715
(404) 252-5055
(404) 252-5589

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
13853
GA
174400000X
Specialist
Primary
13853
GA

Other

Enumeration date
12/30/2012
Last updated
12/30/2012
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