Individual
NATHANIEL MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 GROVE RD FL 1, GREENVILLE, SC 29605
(864) 455-7899
Mailing address
1 INDEPENDENCE PT STE 212, GREENVILLE, SC 29615-4536
(864) 797-6306
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
265986
MA
207P00000X
Emergency Medicine Physician
Primary
52186
SC
207P00000X
Emergency Medicine Physician
57.021317
OH
Other
Enumeration date
04/07/2012
Last updated
09/04/2018
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