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Contact Information

MASHAIL MANZUR
1460 MONTREAL RD E
STE 250
TUCKER, GA30084
 Phone: 470-880-2414
 Fax: 678-802-2414
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for MASHAIL MANZUR · (Female)

NPI Number 1689107807
Status Active
Credentials
Entity Individual
Enumeration date 04/05/2017
Last updated 11/13/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • FL License # PR507
  • GA License # POD001450
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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