Ebot B Manga is a family nurse practitioner in Dacula, GA. Ebot B Manga NPI is 1164920716. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
2064 LILAC ARBOR WAY
DACULA, GA
ZIP 30019-475
Phone: (678) 887-4367
The NPI 1164920716 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 1/29/2018 and was last updated on 7/20/2021.