NPI Profile for Dr ROSE MARY MBIBONG MABO in ATLANTA, GA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Primary Podiatric Medicine |
213EP1101X | 48 | Podiatry | |
Public Health |
213EP0504X | 48 | Podiatry | |
Surgery, Foot & Ankle |
213ES0103X | 48 | Podiatry |
| NPI # | 1851703078 |
|
| Status | Active | |
| Credentials | DPM (Doctor of Podiatric Medicine) | |
| Entity | Individual | |
| Enumeration date | 05/22/2014 | |
| Last updated | 01/10/2024 - About 2 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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ROSE MARY MBIBONG MABO
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