Individual
DR. HEATHER MICHELLE MANOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6010 E WT HARRIS BLVD, CHARLOTTE, NC 28215-4084
(704) 208-4134
(704) 248-8068
Mailing address
1200 MYRTLE AVE, CHARLOTTE, NC 28203-4540
(704) 995-1992
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2009-01740
NC
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
2009-01740
NC
Other
Enumeration date
03/02/2007
Last updated
03/07/2023
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