Individual provider · Type 1 NPI
Rose-Mary Mbibong-Mabo, DPM
Primary Podiatric Medicine Podiatrist · Atlanta, GA
NPI number
1851703078
Active
Practice location
315 Boulevard NE Ste 532
Atlanta, GA 30312-1266
Mailing address
PO Box 451371
Atlanta, GA 31145-9371
Other practice locations
- 2892 Mountain Industrial Blvd, Tucker, GA 30084-3014 · (770) 284-1616
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Public Medicine Podiatrist | 213EP0504X | POD001234 (GA) |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | POD001234 (GA) |
| Primary Podiatric Medicine Podiatrist Primary | 213EP1101X | POD001234 (GA) |
Primary Podiatric Medicine Podiatrist: Definition to come...
Another provider at this address
About NPI 1851703078
Rose-Mary Mbibong-Mabo, DPM's National Provider Identifier is 1851703078, issued on May 22, 2014. The primary taxonomy on file is Primary Podiatric Medicine Podiatrist (213EP1101X), and the practice location is in Atlanta, GA. The record was last updated on Jan 10, 2024.