Individual
BLAINE T MANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2325 DOUGHERTY FERRY RD STE 100, SAINT LOUIS, MO 63122-3356
(314) 909-1359
(314) 909-1370
Mailing address
1120 15TH ST # OR6000, AUGUSTA, GA 30912-0004
(706) 721-3813
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
2018020296
MO
207X00000X
Orthopaedic Surgery Physician
95437
GA
Other
Enumeration date
06/25/2018
Last updated
10/28/2025
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