Mansfield, Donald Lee

Mansfield, Donald Lee is an sole proprietor health care provider with primary practice located at 1462 Montreal Rd Suite 316, Tucker GA 30084-6929. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Mansfield, Donald Lee can be contacted via phone (770) 938-3813.

Contact Information

Primary practice address
1462 Montreal Rd Suite 316 Tucker GA 30084-6929
Phone: (770) 938-3813
Fax: (770) 938-5371
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 12349 Georgia

Profile Details

NPI number 1376612408
LBN Legal business name Mansfield, Donald Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 6th, 2006
Last updated Jul 8th, 2007 - about 19 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1376612408 NPPES
Georgia MEDICAID 0057228A

Popular Providers