Individual
DR. DOUGLAS LEE MANN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1616 BELTLINE RD SW, DECATUR, AL 35601
(256) 355-9645
(256) 353-7116
Mailing address
1616 BELTLINE RD SW, DECATUR, AL 35601
(256) 355-9645
(256) 353-7116
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S418TA-311
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25041
SPECTERA
—
01
—
A10418
COLE EYE MED
—
Enumeration date
12/14/2006
Last updated
07/08/2007
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