Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EBOT B MANGA
Active Sole ProprietorEBOT B MANGA is a Family Nurse Practitioner healthcare provider located in DACULA, Georgia. NPI 1164920716 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · DACULA, GA
Registration Details
- NPI Number
- 1164920716
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 29, 2018 (8.5287188730429 yrs)
- Last Updated
- Jul 20, 2021
- License
-
147685 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2064 LILAC ARBOR WAYDACULA, GA, 300192475Browse GA providers · Browse ZIP 30019
- Phone
- 6788874367
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
Other Family Nurse Practitioner Providers in DACULA, GA
| Name | Credential | NPI |
|---|---|---|
| MARIAN HAYES HIBBITTS | APRN, FNP-BC | 1427063288 |
| MRS. DEBRA CAROL MOSS | NP | 1275737926 |
| MR. STEVEN ROBERT HAMMOND | N.P. | 1942569470 |
| YENTL BUTLER | NP | 1104171446 |
| VALERIE MODUPEH COLE | FNP-C | 1770822397 |
| MS. AMIE PATRICIA MAY | NP | 1710310479 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.