Individual
LAURA KATHRYN MANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
400 N STATE OF FRANKLIN RD, JOHNSON CITY, TN 37604-6035
(423) 431-6111
Mailing address
715 HOLLYWOOD ST, SPARTANBURG, SC 29302-2129
(571) 733-1736
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
TN
Other
Enumeration date
03/22/2023
Last updated
03/22/2023
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