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Individual

DR. MATTHEW L MANCINI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1934 ALCOA HWY STE 285, KNOXVILLE, TN 37920-1528
(865) 305-9620
(865) 525-3460
Mailing address
1934 ALCOA HWY STE 285, KNOXVILLE, TN 37920-1528
(865) 305-9620
(865) 525-3460

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
31380
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3839568
TN
Enumeration date
07/03/2006
Last updated
01/25/2019
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