JOSE MANI THECKEDATH

Dr JOSE MANI THECKEDATH is a male medical professional, specializing in Dermatology. He graduated in 1974.

Contact

1911 PALMYRA RD
ALBANY
GA
317011574

Tel:

JOSE MANI THECKEDATH Information

Npi 1982798047
Pac Id 2860662822
Professional Enrollment Id I20110830000437
Last Name THECKEDATH
First Name JOSE
Middle Name MANI
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 1974
Primary Specialty DERMATOLOGY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 1911 PALMYRA RD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City ALBANY
State GA
Zip Code 317011574
Phone Number
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment M

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