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Joseph J Mangraviti, MD
General Practice Physician in Rome, Georgia
NPI 1205868114

Joseph J Mangraviti is a General Practice Physician based in Rome, GA. Joseph J Mangraviti practices in Rome, GA and has the professional credentials of MD. The NPI Number for Joseph J Mangraviti is 1205868114 and holds a License No. 23184 (Georgia).

The current practice location address for Joseph J Mangraviti is 1305 Redmond Cir Nw, Rome, GA and can be reached out via phone at 706-295-6285.

Location: 1305 Redmond Cir Nw, Rome, GA, 30165-1345
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205868114
Provider Name
Joseph J Mangraviti
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1305 Redmond Cir Nw, Rome, GA, 30165-1345
Phone Number
706-295-6285
Fax Number
Provider Enumeration Date
07/07/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1305 Redmond Cir Nw
City
Rome
State
Georgia
Zip
30165-1345
Phone Number
706-295-6285
Fax Number
person
Provider Business Mailing Address Details
Address
1305 Redmond Cir Nw
City
Rome
State
Georgia
Zip
30165-1345
Phone Number
706-295-6285
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
23184 (Georgia)
Definition
Definition to come...
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