Individual
SAMUEL PAUL MCMANAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13425 HOOVER CREEK BLVD STE 204, CHARLOTTE, NC 28273-0170
(980) 999-5007
Mailing address
1120 15TH ST # GC5110, AUGUSTA, GA 30912-0004
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12855
NC
Other
Enumeration date
02/05/2022
Last updated
01/07/2025
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