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Individual

DR. MICHAEL J MANESS

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
145 APPLECROSS RD, SOUTHERN PINES WOMENS HEALTH CENTER PC, SOUTHERN PINES, NC 28387
(910) 692-7928
(910) 692-5962
Mailing address
PO BOX 749, SOUTHERN PINES WOMENS HEALTH CENTER PC, SOUTHERN PINES, NC 28388-0749
(910) 692-7928
(910) 692-5962

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
21491
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
27450
MEDCOST
01
53822
BLUE CROSS BLUE SHIELD
05
8953822
NC
01
9663436
GHI
01
FH1000195
FIRST CAROLINA CARE
05
Q21491
SC
Enumeration date
03/31/2006
Last updated
07/08/2007
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