Individual
EDELYN MARIE MANNING PAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1950 LAUREL MANOR DR STE 142, THE VILLAGES, FL 32162-5602
(352) 323-9545
(352) 674-9859
Mailing address
150 NE KENNETH FORD DR, ROSEBURG, OR 97470-1042
(541) 672-9596
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
PG210628
OR
Other
Enumeration date
04/02/2022
Last updated
08/01/2025
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