MASHAIL MANZUR


Address: 1460 Montreal Rd E, Ste 275, Tucker, GA 30084
Phone: 7868998157

MASHAIL MANZUR (NPI# 1689107807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1689107807
Entity Type Individual
Full Name MASHAIL MANZUR
Practice Address 1460 Montreal Rd E
Ste 275
Tucker
GA 30084
Practice Telephone 7868998157
Enumeration Date 2017-04-05
Last Update Date 2020-07-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 213E00000X Podiatrist POD001450 GA Podiatric Medicine & Surgery Service Providers
N 213E00000X Podiatrist PR507 FL Podiatric Medicine & Surgery Service Providers
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 1460 MONTREAL RD E
STE 275
City TUCKER
State GA
Zip Code 30084

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609401355 Excellent Medical Transport Ambulance 4378 Sentry Dr, Tucker, GA 30084 2020-03-03
1811468796 Caleb Lee Ebbets Physical Therapist 1459 Montreal Road, Medical Office Building, Suite 301, Tucker, GA 30084 2018-12-17
1417436130 Benjamin Han Wook Chong Physical Therapist 1460 Montreal Road East, Suite 300, Tucker, GA 30084 2018-08-13
1336659325 Lavista Acupuncture and Herbal Medicine Acupuncturist 4915 Lavista Rd, Tucker, GA 30084 2017-10-04
1699294207 Debrica Butler Counselor 1021 Oak Chase Dr., Apt C, Tucker, GA 30084 2017-09-14
1295264695 Jolanta Wazgowska Hopkins Social Worker 4404 Idlewood Lane, Tucker, GA 30084 2017-06-08
1164956157 Sage Dental Group of Georgia LLC Dentist 4320 Lavista Rd, Suite C119, Tucker, GA 30084 2017-04-17
1053765578 Jessica Spruyt Speech-Language Pathologist 3756 Lavista Rd Suite 104, Tucker, GA 30084 2016-04-21
1265802318 Spine and Orthopedics of Atlanta, LLC Clinic/Center 1462 Montreal Rd Ste 218, Tucker, GA 30084 2015-10-01
1396114674 Ashley Carrigan Behavioral Analyst 3786 Lavista Road, Suite 104, Tucker, GA 30084 2015-09-17
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Taxonomy Information

Taxonomy Code 213E00000X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist

Taxonomy Definition

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356501381 Sheldon Soble Dpm Podiatrist 2193 Northlake Pkwy # 12-114, Tucker, GA 30084-4116 2008-06-12
1467463497 Sheldon Soble Podiatrist 2193 Northlake Parkway, Building 12 Suite 114, Tucker, GA 30084 2006-08-11
1770504631 Winfield E Butlin Podiatrist 2193 Northlake Pkwy, Ste 114, Tucker, GA 30084-4116 2006-07-23
1528225653 Vpg 1, LLC Podiatrist 2193 Northlake Pkwy, Suite 114, Tucker, GA 30084-4116 2008-05-16
1336311620 Peachtree Podiatry Group Podiatrist 2193 Northlake Pkwy, Suite 114, Tucker, GA 30084-4116 2008-03-27
1134287360 Meryl P Stein Podiatrist 200 Crescent Centre Park, Department of Podiatry, Tucker, GA 30084 2006-12-04
1548282551 John A Ruch Podiatrist 2193 Northlake Pkwy, Ste 114, Tucker, GA 30084-4116 2006-07-25

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1427696392 Trent Lott Podiatrist 3045 Brook Dr, Decatur, GA 30033-3937 2019-12-11
1700440401 Pamela Onderko Dpm LLC Podiatrist 5223 Riverside Dr Ste 104, Macon, GA 31210-0889 2019-04-28
1073070579 Foot and Ankle Reconstruction of North Georgia P.c Podiatrist 970 Woodstock Pkwy Ste 200, Woodstock, GA 30188-4869 2019-02-21
1801352190 Zachary Adam Rohr Podiatrist 2314 Emerald Springs Dr, Decatur, GA 30035-2632 2019-02-12
1649741604 Neville A Alexander Dpm PC Podiatrist 535 Aston Hall Way, Alpharetta, GA 30022-6634 2018-12-16
1902371073 Atlanta Sports Podiatry Podiatrist 9700 Medlock Bridge Rd Ste 126, Johns Creek, GA 30097-4408 2018-10-04
1275012254 Christopher Anthony Martin Podiatrist 1075 Lafayette Pkwy Ste 200, Lagrange, GA 30241-3733 2018-08-09
1306323738 Stride Foot & Ankle Center, LLC Podiatrist 4950 Gladstone Pkwy, Suwanee, GA 30024-6945 2018-07-28
1235642026 Thomas Foot and Ankle Clinic LLC Podiatrist 410 Connell Rd Ste E, Valdosta, GA 31602-1898 2017-11-15
1013420413 Erika Allison Podiatrist 3636 Highlands Pkwy Se, Smyrna, GA 30082-5184 2017-11-08
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Competitor

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City TUCKER
Zip Code 30084

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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