MANISHA JAKKIDI
Individual Provider (NPI-1)
Active
Internal Medicine, Gastroenterology
Provider Information
- NPI Number
1083098925- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1117 20TH ST, COLUMBUS, GA, 319011848
- Phone
- (063) 246-3657
Specialties & Taxonomies
Student in an Organized Health Care Education/Training Program
Internal Medicine, Gastroenterology
Primary License: GA #86981
All Addresses
MAILING
PO BOX 117337
ATLANTA, GA, 303687337