Manga, Ebot B
Manga, Ebot B is an sole proprietor health care provider with primary practice located at 2064 Lilac Arbor Way , Dacula GA 30019-2475. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Manga, Ebot B can be contacted via phone (678) 887-4367.Contact Information
Primary practice address
2064 Lilac Arbor Way
Dacula GA 30019-2475
Phone: (678) 887-4367
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 147685 | Georgia |
Profile Details
| NPI number | 1164920716 |
|---|---|
| LBN Legal business name | Manga, Ebot B |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 29th, 2018 |
| Last updated | Jul 20th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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