Individual
ASHLEY MANER TONIDANDEL
Active
Individual
ASHLEY MANER TONIDANDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
200401341
NC
207LP2900X
Pain Medicine (Anesthesiology) Physician
200401341
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
146F6
BCBS
—
01
—
202027
MEDCOST
—
05
—
3810009593
—
WV
05
—
5907505
—
NC
01
—
810638
PARTNERS
—
01
—
9941091
AETNA
—
05
—
Q41004
—
SC
Enumeration date
05/21/2007
Last updated
09/11/2017
Update your record
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