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Shantae Mangaroo, M.D
NPI 1902293434 · on the registry since 2015 · sole proprietor
Practice
- Address
- 8011 Mall Pkwy
Lithonia, GA 30038 - Phone
- (404) 518-8056
- Organisation at this address
- Kaiser Foundation Health Plan Of Georgia Inc.
Kaiser Foundation Health Plan Of Georgia, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Additional practice sites
- 720 Westview Dr Sw, Atlanta, GA
Registry record
- Primary taxonomy
- Family Medicine Physician
207Q00000X
- Also registered as
- Student in an Organized Health Care Education/Training Program
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-04-14
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