EBOT MANGA

specializing in nurse practitioner in Dacula, Georgia

NPI: 1164920716

Provider Type

1

Practice Locations

Mailing Location

2064 LILAC ARBOR WAY

DACULA, GA 30019

📞 6788874367

Practice Location

2064 LILAC ARBOR WAY

DACULA, GA 30019

📞 6788874367

Provider Information

Gender:M
Sole Proprietor:Yes
Enumeration Date:1/29/2018
Last Updated:7/20/2021

Credentials

Primary Credential:
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