Provider Demographics
NPI:1023457157
Name:CALL, MANDI RAE (CPM)
Entity type:Individual
Prefix:
First Name:MANDI
Middle Name:RAE
Last Name:CALL
Suffix:
Gender:F
Credentials:CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:354 SENOIA RD STE 2A
Mailing Address - Street 2:
Mailing Address - City:PEACHTREE CITY
Mailing Address - State:GA
Mailing Address - Zip Code:30269-1055
Mailing Address - Country:US
Mailing Address - Phone:404-933-4837
Mailing Address - Fax:
Practice Address - Street 1:354 SENOIA RD STE 2A
Practice Address - Street 2:
Practice Address - City:PEACHTREE CITY
Practice Address - State:GA
Practice Address - Zip Code:30269-1055
Practice Address - Country:US
Practice Address - Phone:404-933-4837
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-21
Last Update Date:2017-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife