Dr. Michael Mangonon
Surgery of the Hand
3775 Roswell Rd Suite 250
Marietta
, Georgia 30062-8836
Dr. Michael Mangonon
Surgery of the Hand
3775 Roswell Rd Suite 250
Marietta
, Georgia 30062-8836
(770) 333-7889
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About
Features
Specialties
- Surgery of the Hand
Languages spoken
- English
Location
First Address
- Dr. Michael Mangonon
- 3775 Roswell Rd Suite 250
- Marietta, GA
- Zip : 30062-8836
- Fax : (770) 333-7889
- Phone : (770) 333-7888
Second Address
- Dr. Michael Mangonon
- 3775 Roswell Rd Suite 250
- Marietta, GA
- Zip : 30062-8836
- Fax : (770) 333-7889
- Phone : (770) 333-7888
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 2086S0105X | Surgery of the Hand | 050410 | CT |
| N | 2086S0105X | Surgery of the Hand | 258302-1 | NY |
| Y | 2086S0105X | Surgery of the Hand | 72644 | GA |
National Provider Identifier
| NPI | 1609013036 |
|---|---|
| Provider Name | Dr. Michael Mangonon |
| First Address | Marietta, GA 30062-8836 |
| Second Address | Marietta, GA 30062-8836 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/01/2009 |
| Last Update Date | 17/02/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.