Individual
CELIA MANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1720 2ND AVE S # THT422, BIRMINGHAM, AL 35294-0004
(205) 934-3411
Mailing address
1408 OAK TREE CT, MOBILE, AL 36609-2205
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1719
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1719
ALABAMA BOARD OF MEDICAL EXAMINERS
AL
Enumeration date
02/01/2021
Last updated
02/01/2021
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