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Individual

ELIZABETH A. MANCI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

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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