Individual
DR. JOHN GERARD MCMANUS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-0211
Mailing address
1499 WALTON WAY, STE 1400, AUGUSTA, GA 30901-2602
(706) 724-6100
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
37620
GA
207P00000X
Emergency Medicine Physician
K9124
TX
207Q00000X
Family Medicine Physician
037620
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036655104
—
TX
Enumeration date
01/30/2006
Last updated
08/23/2024
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