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Individual

DR. RICHARD C MANUS JR.

Active
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Individual

DR. RICHARD C MANUS JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
010412
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52472462-002
BLUE CROSS BLUE SHIELD
GA
Enumeration date
03/12/2007
Last updated
05/15/2019
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