Individual
DR. JYOTHI NAT MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1593 YANCEYVILLE ST BLDG A, SUITE 100, GREENSBORO, NC 27405-6948
(336) 275-1306
(336) 275-1307
Mailing address
1593 YANCEYVILLE ST BLDG A, SUITE 100, GREENSBORO, NC 27405-6948
(336) 275-1306
(336) 275-1307
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
9300399
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110151769
RAILROAD MEDICARE
NC
01
—
288646
MAMSI
NC
01
—
2902588
UNITED HEALTHCARE
NC
01
—
4453277
AETNA
NC
01
—
5126228
FIRST HEALTH
NC
01
—
561999974
TAX ID
NC
01
—
61878
BCBS
NC
01
—
68576
MEDCOST
NC
01
—
7779
PARTNERS
NC
05
—
7961878
—
NC
Enumeration date
08/24/2006
Last updated
10/14/2008
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