Manji, Mehtab
Manji, Mehtab is an sole proprietor health care provider with primary practice located at 6292 Lawrenceville Hwy , Tucker GA 30084-1870. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / General Practice. Dental Providers / General Practice is her primary health care specialty. Manji, Mehtab can be contacted via phone (551) 996-5635.Contact Information
Primary practice address
6292 Lawrenceville Hwy
Tucker GA 30084-1870
Phone: (551) 996-5635
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Dental Providers / General Practice | 1223G0001X | DN123245 | Georgia |
Profile Details
| NPI number | 1497404917 |
|---|---|
| LBN Legal business name | Manji, Mehtab |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 22nd, 2022 |
| Last updated | Oct 8th, 2023 - about last year |
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.
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