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Contact Information

MICHAEL MANGONON, DO
4775 JIMMY CARTER BLVD STE 201
NORCROSS, GA30093-3760
 Phone: 470-305-0848
 Fax: 470-305-1110
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery of the Hand

2086S0105X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for MICHAEL MANGONON · (Male)

NPI # 1609013036
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 01/07/2009
Last updated 11/16/2025 - About 7 months ago
Sole proprietor 1 Yes
Identifiers
  • GA License # 72644
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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