Search › Georgia › 237700000X
Jerry Mantooth
NPI 1609184571 · on the registry since 2010
Practice
- Address
- 601 Fleming St Ste B
Dalton, GA 30721 - Phone
- (706) 226-3257
- Organisation at this address
- Northland Hearing Centers Inc
Inferred from a shared address, not stated in the registry.
Additional practice sites
- 4509 Hixson Pike Ste 2, Hixson, TN
- 34 E Oak St, East Ellijay, GA
Registry record
- Primary taxonomy
- 237700000X
237700000X
- Also registered as
- 237600000X
237700000X - Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-03-17
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