Individual
MICHELLE DENISE MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAA
Contact information
Practice address
3100 KEMBLE AVE, BRUNSWICK, GA 31520-4211
(800) 232-5703
Mailing address
PO BOX 235019, MONTGOMERY, AL 36123-5019
(334) 279-1450
(334) 395-4110
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
055345064
GA
Other
Enumeration date
11/03/2009
Last updated
11/03/2009
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