# VAUGHN H. MANCHA, JR., P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851685150
- **Authorized official:** MRS. DEBORAH B MANCHA (VICE-PRESIDENT)
- **Authorized official phone:** (334) 300-2573

## Contact information

- **Practice address:** 17328 BURWICK LOOP, FAIRHOPE, AL 36532-5243
- **Practice address phone:** (334) 300-2511
- **Mailing address:** 17328 BURWICK LOOP, FAIRHOPE, AL 36532-5243
- **Mailing address phone:** (334) 300-2573

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 14167 | AL | Yes |

## Other

- **Enumeration date:** 06/03/2011
- **Last updated:** 11/19/2014