Organization
MANNING DIAGNOSTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA K DAVIS (BILLING MANAGER)
(843) 771-4031
Entity
Organization
Contact information
Practice address
202 E HOSPITAL ST, MANNING, SC 29102-3160
(803) 433-2021
Mailing address
202 E HOSPITAL ST, MANNING, SC 29102-3160
(803) 433-2021
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SL0070
—
SC
Enumeration date
07/09/2008
Last updated
07/09/2008
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