Organization
W. J. MANUEL, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILBERT J. MANUEL MD (OWNER/PRACTITIONER)
(228) 762-5445
Entity
Organization
Contact information
Practice address
4211 HOSPITAL ST, PASCAGOULA, MS 39581-5320
(228) 762-5445
(228) 762-8050
Mailing address
4211 HOSPITAL ST, PASCAGOULA, MS 39581-5320
(228) 762-5445
(228) 762-8050
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
06300
MS
Other
Enumeration date
07/09/2008
Last updated
07/14/2008
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