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Individual
MELANTHA DORTHEA MANNS
Active
Individual
MELANTHA DORTHEA MANNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
20915
MS
208M00000X
Hospitalist Physician
20915
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03442094
—
MS
Enumeration date
09/21/2009
Last updated
10/04/2023
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