Individual
MR. MICHAEL J MCMANUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2812 HARTFORD HWY STE 1, DOTHAN, AL 36305-4927
(334) 712-1170
(334) 460-8391
Mailing address
2812 HARTFORD HWY STE 1, DOTHAN, AL 36305-4927
(334) 712-1170
(334) 460-8391
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
00013633
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
172267
—
AL
05
—
193244
—
AL
Enumeration date
08/04/2006
Last updated
07/08/2021
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