Manto, Aurelio D
Manto, Aurelio D is an individual health care provider with primary practice located at 1000 Cowles Clinc Way Ste C-300 , Greensboro GA 30642-5288. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Manto, Aurelio D can be contacted via phone (067) 999-9710.Contact Information
Primary practice address
1000 Cowles Clinc Way Ste C-300
Greensboro GA 30642-5288
Phone: (067) 999-9710
Fax: (706) 999-0274
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 207RA0000X | 152291 | Massachusetts |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 63265 | Georgia |
Profile Details
| NPI number | 1982686846 |
|---|---|
| LBN Legal business name | Manto, Aurelio D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 16th, 2005 |
| Last updated | Feb 18th, 2020 - about 4 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 | 1982686846 | NPPES |
| Georgia | MEDICAID | 414741507B | |
| Georgia | MEDICAID | 414741507F | |
| Georgia | MEDICAID | 414741507A | |
| Georgia | Other | J18071 | |
| Georgia | MEDICAID | 3167208 |
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