Individual
DR. BRENDA L MANFREDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6316 OLD OAK RIDGE RD STE E, GREENSBORO, NC 27410-9940
(336) 605-1337
(336) 605-3776
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2020-00427
NC
207Q00000X
Family Medicine Physician
35.094392
OH
207Q00000X
Family Medicine Physician
G129943
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001378240
—
CT
05
—
3003654
—
OH
Enumeration date
02/28/2006
Last updated
03/29/2021
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