MEDICARE: DR. JOHN A MANFREDI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RH0003X	Hematology & Oncology Physician	16101	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1629070131
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN A MANFREDI MD

Provider Business Mailing Address
First Line	:	1835 SAVOY DR
Second Line	:	SUITE 300
City	:	ATLANTA
State	:	GA
Zip	:	30341-1072
Country	:	US
Telephone Number	:	678-288-9555
Fax Number	:	678-288-9556

Provider Business Practice Location Address
First Line	:	308 DEEP SOUTH FARM RD
Second Line	:	SUITE 200
City	:	BLAIRSVILLE
State	:	GA
Zip	:	30512-2218
Country	:	US
Telephone Number	:	706-835-2235
Fax Number	:	706-835-1706

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/15/2005
Last Update Date	:	04/09/2015

Similar Medicare Providers

1528062304 — DR. MARY B FRANKIS MD
Practice Location Address:

346 DEEP SOUTH FARM RD STE B
BLAIRSVILLE, GA
30512-2218

Practice Phone: 770-534-2020
Practice Fax: 770-534-8025

1053389734 — JAMES H VARNELL MD
Practice Location Address:

346 DEEP SOUTH FARM RD STE B
BLAIRSVILLE, GA
30512-2218

Practice Phone: 770-534-2020
Practice Fax: 770-534-8025

1376597864 — NORTH GEORGIA RADIATION PARTNERS, LP
Practice Location Address:

308 DEEP SOUTH FARM RD , SUITE 100
BLAIRSVILLE, GA
30512-2218

Practice Phone: 706-835-3030
Practice Fax: 706-835-3028

1730127598 — JONATHAN BLAIR BARNES MD
Practice Location Address:

308 DEEP SOUTH FARM RD , SUITE 100
BLAIRSVILLE, GA
30512-2218

Practice Phone: 706-835-3030
Practice Fax: 706-835-3028

1073528501 — GEORGIA CANCER SPECIALISTS I PC
Practice Location Address:

308 DEEP SOUTH FARM RD , SUITE 200
BLAIRSVILLE, GA
30512-2218

Practice Phone: 706-835-2235
Practice Fax: 706-835-1706

1376628974 — DR. AARON JOEL SCHUENEMAN M.D.
Practice Location Address:

308 DEEP SOUTH FARM RD , SUITE 200
BLAIRSVILLE, GA
30512-2218

Practice Phone: 706-835-2235
Practice Fax: 706-835-1706

Directions to “ DR. JOHN A MANFREDI MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.