Individual
MATTHEW A MANNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2400 W FRIENDLY AVE, GREENSBORO, NC 27403-1109
(336) 832-1100
Mailing address
200 QUEENS RD STE 400, CHARLOTTE, NC 28204-3264
(980) 890-6063
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
200100410
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1316999857
—
VA
05
—
892129FA
—
NC
01
—
920006700
RAILROAD MEDICARE
NC
Enumeration date
05/16/2006
Last updated
05/31/2024
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