Individual
STEPHENIE TAKAHASHI MANNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3000 NEW BERN AVE, RALEIGH, NC 27610-1231
(919) 350-7270
Mailing address
PO BOX 603949, CHARLOTTE, NC 28260-3949
(919) 350-0351
(919) 350-7687
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
2016-01947
NC
207RP1001X
Pulmonary Disease Physician
2016-01947
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1619129046
—
NC
Enumeration date
10/16/2008
Last updated
02/23/2023
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