Individual
MR. MARK WARREN MCMANUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6336 US HIGHWAY 64, MORGANTON, NC 28655-7141
(828) 430-9004
(828) 430-9444
Mailing address
201 ERVIN RD, MORGANTON, NC 28655-2511
(828) 438-1169
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
33273
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
57849
BLUE CROSS BLUE SHIELD
NC
05
—
8957849
—
NC
Enumeration date
06/13/2006
Last updated
01/31/2023
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