Individual
JACK E. MANNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4159 MILL ST NE, COVINGTON, GA 30014-2546
(770) 786-1234
(678) 712-6977
Mailing address
PO BOX 2898, COVINGTON, GA 30015-7898
(770) 786-1234
(678) 712-6977
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
68062
GA
Other
Enumeration date
06/21/2008
Last updated
11/22/2021
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