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Individual
WILLIAM ALAN MANUS
Active
Individual
WILLIAM ALAN MANUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
014935
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000191804D
—
GA
01
—
01331843
AMERIGROUP
GA
01
—
1636432
CIGNA
GA
01
—
4114275
AETNA
GA
01
—
52038140
BCBS
GA
01
—
544807
WELLCARE
GA
01
—
P00813506
MEDICARE RR #CC4177
GA
Enumeration date
08/23/2005
Last updated
03/06/2019
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