Individual
DR. REBECCA ANNA MANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4414 LAKE BOONE TRL STE 302, RALEIGH, NC 27607-7514
(919) 782-8038
(919) 782-8189
Mailing address
4414 LAKE BOONE TRL STE 302, RALEIGH, NC 27607-7514
(919) 782-8038
(919) 782-8189
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
2010-00750
NC
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
2010-00750
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5914755
—
NC
Enumeration date
10/24/2006
Last updated
09/24/2020
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