Individual
DR. DAVID LONNIE MANESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
294 SUMMAR DR, JACKSON, TN 38301-3915
(731) 423-1932
(731) 410-0367
Mailing address
294 SUMMAR DR, JACKSON, TN 38301-3915
(731) 423-1932
(731) 410-0367
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0200
SC
207Q00000X
Family Medicine Physician
28293
GA
207Q00000X
Family Medicine Physician
Primary
DO000623
TN
Other
Enumeration date
10/25/2005
Last updated
10/20/2015
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