Individual
ELIZABETH A. MANCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1700 CENTER ST, PATHOLOGY, MOBILE, AL 36604-3301
(251) 415-1612
(251) 415-1003
Mailing address
PO BOX 40480, MOBILE, AL 36640-0480
(251) 415-1612
(251) 415-1003
Taxonomy
Speciality
Code
Description
License number
State
207ZP0213X
Pediatric Pathology Physician
Primary
4531
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000014411
—
AL
05
—
00018680
—
MS
05
—
1052477
—
LA
01
—
11-10126
UNITED HEALTH CARE
AL
05
—
255642100
—
FL
01
—
51014411
BLUE CROSS
AL
Enumeration date
05/20/2006
Last updated
05/11/2015
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