Individual
JOHN V MANNING JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A. - C
Contact information
Practice address
2431 W MAIN ST, STE 1001, DOTHAN, AL 36301-1217
(334) 794-2825
(334) 793-5050
Mailing address
2431 W MAIN ST, STE 1001, DOTHAN, AL 36301-1217
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA-038
AL
Other
Enumeration date
10/24/2005
Last updated
07/08/2007
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