Individual
GEORGE ANTHONY MANOUSOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
332 N TRADE ST, STE 1500, MATTHEWS, NC 28105-1728
(704) 512-6820
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
200400376
NC
208M00000X
Hospitalist Physician
200400376
NC
Other
Enumeration date
07/13/2006
Last updated
07/15/2024
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