Individual
MR. WILLIAM M MANNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
380 HOSPITAL DRIVE, SUITE 410, MACON, GA 31217
(478) 746-5644
(478) 745-4849
Mailing address
P.O. BOX 2584, MACON, GA 31203
(478) 746-5644
(478) 745-4849
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN118955
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
338122103A
—
GA
Enumeration date
11/02/2006
Last updated
11/12/2014
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