Individual
SALVATORE F. MANNINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
55 WHITCHER ST NE, SUITE 350, MARIETTA, GA 30060-1155
(770) 424-6893
(770) 528-9938
Mailing address
55 WHITCHER ST NE, SUITE 350, MARIETTA, GA 30060-1155
(770) 424-6893
(770) 528-9938
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
56133
GA
207RH0005X
Hypertension Specialist Physician
56133
GA
207RI0011X
Interventional Cardiology Physician
Primary
56133
GA
207UN0901X
Nuclear Cardiology Physician
56133
GA
207UN0902X
Nuclear Imaging & Therapy Physician
56133
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
921265069Q
—
GA
05
—
921265069R
—
GA
05
—
921265069S
—
GA
05
—
921265069T
—
GA
05
—
921265069U
—
GA
Enumeration date
04/03/2006
Last updated
10/10/2019
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