DR. DONALD LEE MANSFIELD MD NPI 1376612408

NPI Information

NPI: 1376612408
Provider Name: DR. DONALD LEE MANSFIELD, MD
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
1462 MONTREAL RD
SUITE 316
TUCKER, GA
ZIP 30084
Phone: (770) 938-3813
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DR. Donald Lee Mansfield, MD is a specialist in Tucker, GA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. Donald Lee Mansfield, MD NPI is 1376612408. 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:

1462 MONTREAL RD
SUITE 316
TUCKER, GA
ZIP 30084-929
Phone: (770) 938-3813
Fax: (770) 938-5371

The enumeration date for this NPI number is 11/6/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		12349	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0057228A	MEDICAID	GEORGIA
2	D30141	MEDICARE UPIN	GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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