Individual
DR. JAMES TIFT MANN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3000 NEW BERN AVE, G-100, RALEIGH, NC 27610-1231
(919) 231-8253
(919) 231-9546
Mailing address
3000 NEW BERN AVE, G-100, RALEIGH, NC 27610-1231
(919) 231-8253
(919) 231-9546
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
16417
NC
207RC0000X
Cardiovascular Disease Physician
16417
NC
207RI0011X
Interventional Cardiology Physician
Primary
16417
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89-53885
—
NC
Enumeration date
07/08/2005
Last updated
01/06/2011
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