Individual
REGINALD MANNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2500 CHARLOTTE AVE, NASHVILLE, TN 37209-4129
(615) 340-5616
Mailing address
2500 CHARLOTTE AVE, NASHVILLE, TN 37209-4129
(615) 340-5616
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
05/29/2015
Last updated
05/29/2015
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