Individual
BRIAN PATRICK MANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
1403 S SLAPPEY BLVD, ALBANY, GA 31701-2627
(229) 435-6627
(229) 435-6628
Mailing address
1403 S SLAPPEY BLVD, ALBANY, GA 31701-2627
(229) 435-6627
(229) 435-6628
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN013808
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
047790578A
—
GA
Enumeration date
10/01/2008
Last updated
05/09/2017
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