Individual
DR. EBENEZER YAW-OBENG MANTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
834 W MEETING ST, SUITE C, LANCASTER, SC 29720-6251
(803) 313-3846
Mailing address
834 W MEETING ST, SUITE C, LANCASTER, SC 29720-6251
(803) 313-3846
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
29696
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29696
MEDICAL LICENSE
SC
05
—
296968
—
SC
05
—
5907410
—
NC
Enumeration date
06/18/2006
Last updated
02/06/2008
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