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Manuel Peralta
NPI 1184249609 · on the registry since 2020 · sole proprietor
Practice
- Address
- 544 Blue Mountain Rise
Canton, GA 30114 - Phone
- (718) 310-9851
- Fax
- (718) 310-9851
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-08-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia