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Individual

DR. MANEL DINESH NAYAK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2005 PIONEER ST, SUITE C, WAYCROSS, GA 31501-6206
(912) 338-9704
Mailing address
PO BOX 1525, WAYCROSS, GA 31502-1525

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
025931
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000531517A
GA
05
000531517D
GA
Enumeration date
08/13/2006
Last updated
04/01/2016
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