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Individual
WINFRED C MANDA
Active
Individual
WINFRED C MANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
038183
TN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
038183
TN
207RP1001X
Pulmonary Disease Physician
Primary
38183
TN
207RS0012X
Sleep Medicine (Internal Medicine) Physician
038183
TN
Other
Enumeration date
08/15/2006
Last updated
04/29/2020
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