Individual
RICHARD MANNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
313 CONCORD ST, KNOXVILLE, TN 37919-3304
(865) 522-5173
Mailing address
313 CONCORD ST, KNOXVILLE, TN 37919-3304
(865) 414-4850
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
030649
GA
207VG0400X
Gynecology Physician
11600
MS
207VG0400X
Gynecology Physician
13803
SC
207VG0400X
Gynecology Physician
18023
NC
207VG0400X
Gynecology Physician
Primary
MD 11823
TN
207VG0400X
Gynecology Physician
MD 13692
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
030649
LICENSE
GA
01
—
11600
LICENSE
MS
01
—
13803
LICENSE
SC
01
—
18023
LICENSE
NC
01
—
MD11823
LICENSE
TN
01
—
MD13692
LICENSE
AL
Enumeration date
07/03/2007
Last updated
07/08/2007
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