Individual
JOHN NICHOLAS MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
1700 SKYLYN DR, SPARTANBURG, SC 29307-1041
(864) 573-3000
Mailing address
228 RACHEL EVANS DR, BOILING SPRINGS, SC 29316-8395
(864) 612-1042
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
21333
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SCB9307628
SCB9307628
SC
Enumeration date
09/22/2017
Last updated
07/22/2022
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