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Individual

MR. NATHAN RONALD MANLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1802 6TH AVE S, BIRMINGHAM, AL 35233-1932
(205) 975-3030
Mailing address
UAB DEPT OF SURGERY, 625 NINETEENTH ST SOUTH, JT 2ND FLOOR, BIRMINGHAM, AL 35223
(205) 975-3030

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
42641
AL
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
272830
AL
Enumeration date
04/15/2014
Last updated
07/14/2023
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