Individual
ALAN THOMAS MANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
167 ASHLEY AVE, SUITE 301, MSC 912, CHARLESTON, SC 29425-9120
(843) 792-2322
Mailing address
167 ASHLEY AVE, SUITE 301, MSC 912, CHARLESTON, SC 29425-9120
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
LL1275
SC
Other
Enumeration date
06/26/2009
Last updated
06/26/2009
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