Provider Demographics
NPI:1114816964
Name:HAND TRAUMA AND SURGERY SPECIALISTS LLC
Entity type:Organization
Organization Name:HAND TRAUMA AND SURGERY SPECIALISTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:MANGONON
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:917-363-9352
Mailing Address - Street 1:5870 STONELEIGH DR
Mailing Address - Street 2:
Mailing Address - City:SUWANEE
Mailing Address - State:GA
Mailing Address - Zip Code:30024-5330
Mailing Address - Country:US
Mailing Address - Phone:917-363-9352
Mailing Address - Fax:
Practice Address - Street 1:5870 STONELEIGH DR
Practice Address - Street 2:
Practice Address - City:SUWANEE
Practice Address - State:GA
Practice Address - Zip Code:30024-5330
Practice Address - Country:US
Practice Address - Phone:917-363-9352
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-28
Last Update Date:2025-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0105XAllopathic & Osteopathic PhysiciansSurgerySurgery of the HandGroup - Single Specialty