Individual
AURELIO D MANTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2005 PRINCE AVE, ATHENS, GA 30606-6032
(617) 943-3934
(706) 208-0878
Mailing address
2005 PRINCE AVE, ATHENS, GA 30606-6032
(617) 943-3934
(706) 208-0878
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
63265
GA
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
152291
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3167208
—
MA
05
—
414741507A
—
GA
05
—
414741507B
—
GA
05
—
414741507F
—
GA
01
—
J18071
BCBS
MA
Enumeration date
11/16/2005
Last updated
12/22/2025
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