Organization
THAD R MANNING D.O., PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THAD R MANNING D.O., (OWNER/DOCTOR)
(606) 754-7089
Entity
Organization
Contact information
Practice address
9613 MILLARD HWY, PIKEVILLE, KY 41501-8162
(606) 754-7089
Mailing address
9613 MILLARD HWY, PIKEVILLE, KY 41501-8162
(606) 754-7089
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/13/2008
Last updated
02/24/2014
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