Search › Georgia › 363LF0000X
Ebot Manga
NPI 1164920716 · on the registry since 2018 · sole proprietor
Practice
- Address
- 2064 Lilac Arbor Way
Dacula, GA 30019 - Phone
- (678) 887-4367
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-07-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia