Individual
DORIAN MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
301 W PINE ST, BLACKSBURG, SC 29702-1549
(864) 839-4325
Mailing address
301 W PINE ST, BLACKSBURG, SC 29702-1549
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
20333
SC
Other
Enumeration date
07/08/2016
Last updated
03/03/2017
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