Individual
ARIE MANTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2245 LEWISVILLE CLEMMONS RD, CLEMMONS, NC 27012-7461
(336) 712-8225
(336) 712-8227
Mailing address
2245 LEWISVILLE CLEMMONS RD, CLEMMONS, NC 27012-7461
(336) 712-8225
(336) 712-8227
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2000-00535
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89136M4
—
NC
Enumeration date
09/21/2005
Last updated
07/11/2013
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