Individual
MR. JAN A MANSY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 ACADEMY ST S, AHOSKIE, NC 27910-3248
(252) 209-3708
(252) 209-3049
Mailing address
500 ACADEMY ST S, AHOSKIE, NC 27910-3248
(252) 209-3708
(252) 209-3049
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
200101090
NC
208M00000X
Hospitalist Physician
Primary
200101090
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1294J
BCBS OF NC
NC
05
—
891294J
—
NC
01
—
E1133
MEDCOST
NC
Enumeration date
03/03/2006
Last updated
10/31/2007
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