Individual
JOHN MICHAEL MANNING JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 FOUNTAINS BLVD., MADISON, MS 39110
(601) 707-7026
(601) 707-7054
Mailing address
111 FOUNTAINS BLVD, MADISON, MS 39110
(601) 707-7026
(601) 707-7054
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
Primary
13190
MS
207L00000X
Anesthesiology Physician
13190
MS
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
13190
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00114972
—
MS
Enumeration date
06/09/2006
Last updated
01/30/2025
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