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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