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Dr. Shantae Mangaroo, MD
Family Medicine Physician in Lithonia, Georgia
NPI 1902293434

Shantae Mangaroo is a Family Medicine Physician based in Lithonia, GA. Shantae Mangaroo practices in Lithonia, GA and has the professional credentials of MD. The NPI Number for Shantae Mangaroo is 1902293434 and holds a License No. (Georgia).

The current practice location address for Shantae Mangaroo is 8011 Mall Pkwy, Lithonia, GA and can be reached out via phone at 404-518-8056.

Location: 8011 Mall Pkwy, Lithonia, GA, 30038-2543
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902293434
Provider Name
Shantae Mangaroo
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
8011 Mall Pkwy, Lithonia, GA, 30038-2543
Phone Number
404-518-8056
Fax Number
Provider Enumeration Date
04/22/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
8011 Mall Pkwy
City
Lithonia
State
Georgia
Zip
30038
Phone Number
404-518-8056
Fax Number
person
Provider Business Mailing Address Details
Address
8011 Mall Pkwy
City
Lithonia
State
Georgia
Zip
30038
Phone Number
404-518-8056
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
80684 (Georgia)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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