Individual
DR. SHANTAE MANGAROO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8011 MALL PKWY, LITHONIA, GA 30038
(404) 518-8056
Mailing address
8011 MALL PKWY, LITHONIA, GA 30038-2543
(404) 518-8056
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
80684
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/22/2015
Last updated
04/14/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us