Mansfield, Donald Lee
Mansfield, Donald Lee is an sole proprietor health care provider with primary practice located at 1462 Montreal Rd Suite 316, Tucker GA 30084-6929. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Mansfield, Donald Lee can be contacted via phone (770) 938-3813.Contact Information
Primary practice address
1462 Montreal Rd Suite 316
Tucker GA 30084-6929
Phone: (770) 938-3813
Fax: (770) 938-5371
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 12349 | Georgia |
Profile Details
| NPI number | 1376612408 |
|---|---|
| LBN Legal business name | Mansfield, Donald Lee |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 6th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376612408 | NPPES |
| Georgia | MEDICAID | 0057228A |
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