NPI 1760501555

Phyllis Mansour, MD

Practitioner Sports Medicine (Neuromusculoskeletal Medicine) Physician Atlanta, GA

Practice location

Address: 2770 Lenox Rd, Atlanta, GA 30324
Phone: (404) 264-9553
Fax: (404) 266-2294

Registered specialties

Sports Medicine (Neuromusculoskeletal Medicine) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 204C00000X Licence 024462 (GA)

Other Neuromusculoskeletal Medicine, Sports Medicine providers in Georgia →

Registry record

NPI: 1760501555
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Mar 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.