Individual
JOHN M MCMANUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3333 SILAS CREEK PKWY, WINSTON SALEM, NC 27103-3013
(336) 718-7080
Mailing address
2000 FRONTIS PLAZA BLVD STE 200, ATTN FORSYTH MEDICAL GROUP, WINSTON SALEM, NC 27103-5616
(336) 277-2436
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
9601398
NC
208M00000X
Hospitalist Physician
Primary
9601398
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891216L
—
NC
Enumeration date
02/27/2006
Last updated
08/17/2021
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