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PHYLLIS MANSOUR MD
NPI 1760501555
Neuromusculoskeletal Medicine, Sports Medicine in Atlanta, GA

Active since March 29, 2007
2770 LENOX RD, ATLANTA, GA 30324(404) 264-9553(404) 266-2294 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Phyllis Mansour Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHYLLIS MANSOUR MD (NPI 1760501555) is an individual neuromusculoskeletal medicine, sports medicine provider in Atlanta, Georgia, licensed in Georgia (024462) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1760501555
Entity TypeIndividualFemale
Primary Taxonomy204C00000X
Provider Legal NamePHYLLIS MANSOURCredential: MD
Location Address2770 LENOX RDAtlanta, GA 30324
Mailing Address2770 Lenox RdAtlanta, GA 30324 · (404) 264-9553 · Fax (404) 266-2294
Phone(404) 264-9553
Fax(404) 266-2294
Sole ProprietorYes
Enumeration DateMarch 29, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1760501555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeuromusculoskeletal Medicine, Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code204C00000X
License✔ Licensed in GA · 024462
Definition
A Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician trained to be responsible for the continuous care in the field of sports medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine and integrates each of these into the management of the individual engaged in physical exercise (sports) whether as an individual or in team participation. Source: American Osteopathic Association Additional Resources: AOA Osteopathic Board Certification in Neuromusculoskeletal Medicine; https://certification.osteopathic.org/sports-medicine/
2770 LENOX RD, Atlanta, GA 30324
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phyllis Mansour's NPI number?

The NPI number for Phyllis Mansour is 1760501555. It was assigned to this individual provider in the NPPES registry on March 29, 2007.

Where is Phyllis Mansour located?

Phyllis Mansour practices at 2770 Lenox Rd, Atlanta, GA 30324. The listed phone number is (404) 264-9553.

What is Phyllis Mansour's specialty?

The primary specialty registered for this NPI is Neuromusculoskeletal Medicine, Sports Medicine with taxonomy code 204C00000X.

When was this NPI record last updated?

The NPPES record for Phyllis Mansour was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.