Individual
KEITH MANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1319 NEW ST, MURFREESBORO, NC 27855-1119
(252) 506-1784
Mailing address
1319 NEW ST, MURFREESBORO, NC 27855-1119
(252) 506-1784
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
—
—
344600000X
Taxi
Primary
T69005375
VA
Other
Enumeration date
04/06/2019
Last updated
04/06/2019
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