Individual
RICKEY D MANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4117 E EMORY RD, KNOXVILLE, TN 37938-4229
(865) 922-2121
(833) 908-2092
Mailing address
1275 DICK LONAS RD UNIT 101, KNOXVILLE, TN 37909-1383
(865) 584-4747
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20885
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3057937
—
TN
Enumeration date
06/27/2006
Last updated
03/12/2021
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