Individual provider · Type 1 NPI

Ebot B. Manga

Family Nurse Practitioner · Dacula, GA

NPI number 1164920716 Active

About NPI 1164920716

Ebot B. Manga's National Provider Identifier is 1164920716, issued on Jan 29, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Dacula, GA. The record was last updated on Jul 20, 2021.