Individual
DR. FANI B MANNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 S DUNCAN ST, JAMESTOWN, TN 38556-3009
(931) 879-5864
Mailing address
PO BOX 2861, CROSSVILLE, TN 38557-2861
(931) 200-2246
(931) 707-9474
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
61336
TN
208VP0014X
Interventional Pain Medicine Physician
20422
MS
208VP0014X
Interventional Pain Medicine Physician
37851
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000299753
ANTHEM
KY
01
—
1280106
CHA
KY
01
—
1392787
UMWA
KY
01
—
16363600
DOL
KY
01
—
2162137
FIRSTHEALTH
KY
01
—
611142277
BLUEGRASS FAMILY HEALTH
KY
01
—
611142277W
HUMANA
KY
05
—
64067713
—
KY
01
—
K010972
CHAMPUS
KY
01
—
P00029279
RAILROAD MCR
KY
Enumeration date
07/01/2005
Last updated
11/08/2024
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