Individual
DR. CHRISSY M MANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
800 1ST ST, CLEVELAND, MS 38732
(662) 579-3737
(662) 579-3505
Mailing address
239 S WASHINGTON AVE, GREENVILLE, MS 38701-4234
(662) 332-0163
(662) 378-3394
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
953
MS
152W00000X
Optometrist
S-D31-TA-A02
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
190905
—
AL
Enumeration date
05/13/2015
Last updated
06/14/2018
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