Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JEREMY JOEL MANDIA, M.D.
Active Sole ProprietorDR. JEREMY JOEL MANDIA, M.D. is a Preventive Medicine healthcare provider located in FORT EISENHOWER, Georgia. NPI 1710326418 is currently active in the NPPES registry. Verify at CMS.
Preventive Medicine · FORT EISENHOWER, GA
Registration Details
- NPI Number
- 1710326418
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 17, 2013 (13.179904811043 yrs)
- Last Updated
- Jan 30, 2025
- Licenses
-
279197 (NY)279197 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
300 W HOSPITAL RD BLDG 319FORT EISENHOWER, GA, 309055741Browse GA providers · Browse ZIP 30905
- Phone
- 8457027358
- Primary Specialty
-
Preventive Medicine
2083P0500X
- Additional Specialty
- Preventive Medicine
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.