Individual
THOMAS ALLEN MANNING III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 S UNIVERSITY STE 301, LITTLE ROCK, AR 72205
(501) 664-4161
(501) 664-6108
Mailing address
500 S UNIVERSITY STE 301, LITTLE ROCK, AR 72205
(501) 664-4161
(501) 664-6108
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
E4098
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P0034518
RAILROAD MEDICARE
AR
Enumeration date
05/22/2006
Last updated
04/10/2008
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