EBOT B MANGA

DACULA, GA
NPI1164920716
Professional NameEBOT B. MANGA
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: GA  147685)
Enumeration Date2018-01-29
Last Update Date2021-07-20
Business Address
EBOT B MANGA
2064 LILAC ARBOR WAY
DACULA, GA 30019-2475
Phone number: 678-887-4367
Mailing Address
EBOT B MANGA
2064 LILAC ARBOR WAY
DACULA, GA 30019-2475
Phone number: 678-887-4367
Similar providers in Dacula, GA
STEVEN ROBERT HAMMOND
CEDRICKA LAVENDER
AMY ELIZABETH HICKS
NICOLE KILLIAN
ELOHO OBATARE NANNA
ADELAIDE ASHER
JOANN DENISE FLOT LINDSEY
MICHAEL RAYMOND BUTZEN
VALERIE MODUPEH COLE
CASEY JONES ELLIOTT