Individual
JAMES L MANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2859 HIGHWAY 45 BYP, JACKSON, TN 38305-3618
(731) 660-8360
(731) 664-7928
Mailing address
PO BOX 400, JACKSON, TN 38302-0400
(731) 423-8697
(731) 422-5743
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD11685
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080084501
RAILROAD MEDICARE
TN
01
—
129206
UNISON
TN
01
—
3031234
BLUE CROSS BLUE SHIELD
TN
05
—
3184760
—
TN
05
—
3184767
—
TN
Enumeration date
03/07/2006
Last updated
11/29/2012
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