Individual
SHAYNNA MARIE MANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-8623
Mailing address
1000 S BECKHAM AVE, TYLER, TX 75701-1908
(903) 590-5611
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
S3420
TX
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
94788
GA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
S3420
TX
Other
Enumeration date
03/24/2016
Last updated
05/22/2023
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