Individual
DR. MARCUS L MANNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
137 COVE AVENUE, GULF SHORES, AL 36547
(251) 968-7111
Mailing address
PO BOX 2348, GULF SHORES, AL 36547-2348
(251) 968-7111
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3686
AL
Other
Enumeration date
10/17/2006
Last updated
07/08/2007
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