National Provider Identifier Database

MASHAIL MANZUR
Podiatrist

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.


Contact Information

MASHAIL MANZUR
1460 MONTREAL RD E
STE 250
TUCKER, GA30084
Phone: 470-880-2414
Fax: 678-802-2414
Website:
Specialty Taxonomy Code
* Podiatrist 213E00000X
Student in an Organized Health Care Education/Training Program 390200000X

* Indicates primary specialty

NPI Profile & details for MASHAIL MANZUR

NPI Number 1689107807
Credentials
Entity Individual
Enumeration date 04/05/2017
Last updated 11/13/2020 - About 6 years ago
Sole proprietor1 No
Identifiers
  • FL License #: PR507
  • GA License #: POD001450
Hospital affiliation n/a

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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