Organization
G. WILLIAM MANIFOLD, M.D., P.C.
Active
Organization
G. WILLIAM MANIFOLD, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE WILLIAM MANIFOLD M.D. (PRESIDENT)
(256) 318-4380
Entity
Organization
Contact information
Practice address
1208 SOMERVILLE RD SE, DECATUR, AL 35601-4335
(256) 318-4380
Mailing address
PO BOX 1684, DECATUR, AL 35602-1684
(256) 350-4855
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
—
—
Other
Enumeration date
09/12/2013
Last updated
09/12/2013
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