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Dr. Lisa Dawn Mandeville, MD
Obstetrics & Gynecology Physician in Decatur, Georgia
NPI 1821020041

Lisa Dawn Mandeville is a Obstetrics & Gynecology Physician based in Decatur, GA. Lisa Dawn Mandeville practices in Decatur, GA and has the professional credentials of MD. The NPI Number for Lisa Dawn Mandeville is 1821020041 and holds a License No. 046987 (Georgia).

The current practice location address for Lisa Dawn Mandeville is 315 Winn Way, Decatur, GA and can be reached out via phone at 404-299-9724 and via fax at 404-299-0382.

Location: 315 Winn Way, Decatur, GA, 30030-2111
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821020041
Provider Name
Lisa Dawn Mandeville
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
315 Winn Way, Decatur, GA, 30030-2111
Phone Number
404-299-9724
Fax Number
404-299-0382
Provider Enumeration Date
07/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2264676 01 GA AETNA/ USHC
CN9240 01 GA GROUP RAILROAD MEDICARE
0700039 01 GA UNITED HEALTHCARE
000832851E 05 GA
160046634 01 GA RAILROAD MEDICARE
598968 01 GA BLUE CROSS BLUE SHIELD
7695077 01 GA AETNA/US HEALTHCARE
000832851D 05 GA
institution
Provider Business Practice Location Address Details
Address
315 Winn Way
City
Decatur
State
Georgia
Zip
30030-2111
Phone Number
404-299-9724
Fax Number
404-299-0382
person
Provider Business Mailing Address Details
Address
315 Winn Way
City
Decatur
State
Georgia
Zip
30030-2111
Phone Number
404-299-9724
Fax Number
404-299-0382
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
046987 (Georgia)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
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