Manradgh, Rajeive Antwan
Manradgh, Rajeive Antwan is an individual health care provider with primary practice located at 109 White Rose Ct , Loganville GA 30052-8644. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Manradgh, Rajeive Antwan can be contacted via phone (678) 697-4153.Contact Information
Primary practice address
109 White Rose Ct
Loganville GA 30052-8644
Phone: (678) 697-4153
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | APC005768 | Georgia |
Profile Details
| NPI number | 1700321320 |
|---|---|
| LBN Legal business name | Manradgh, Rajeive Antwan |
| Credentials | LAPC, NCC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 5th, 2017 |
| Last updated | Jan 5th, 2017 - about 9 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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