Organization
VAUGHN H. MANCHA, JR., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBORAH B MANCHA (VICE-PRESIDENT)
(334) 300-2573
Entity
Organization
Contact information
Practice address
17328 BURWICK LOOP, FAIRHOPE, AL 36532-5243
(334) 300-2511
Mailing address
17328 BURWICK LOOP, FAIRHOPE, AL 36532-5243
(334) 300-2573
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
14167
AL
Other
Enumeration date
06/03/2011
Last updated
11/19/2014
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