Mashail Manzur

NPI #1689107807 in Tucker, Georgia

Provider Information

NPI Number: 1689107807
Entity Type: Individual
Name: Mashail Manzur
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Podiatrist
Enumeration Date: Apr 5, 2017
Last Updated: Nov 13, 2020

Practice Location

Address: 1460 MONTREAL RD E
Address 2: STE 250
City: Tucker
State: Georgia
ZIP Code: 30084
Phone: (470) 880-2414

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Podiatrist	213E00000X	Primary

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