Individual
JAMES CARL MANUELE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
237 E TAYLOR ST, STE A, LAWRENCEBURG, TN 38464-3723
(662) 417-5475
Mailing address
PO BOX 187, LAWRENCEBURG, TN 38464-0187
(662) 417-5475
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
23335
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0166707
UMWA
OK
01
—
1324230001
PALMETTO DME
OK
05
—
200008940A
—
OK
01
—
200008940B
SOONER PCP
OK
05
—
3866766
—
TN
01
—
4319968
BCBS TN
TN
01
—
7210214
AETNA
—
01
—
731310891006
UNICARE
OK
01
—
731310891028
TRICARE SOUTH
OK
01
—
74502A048
CHAMPUS (WPS)
OK
01
—
G98769
STERLING OPTION 1
OK
01
—
P00015678
RR MEDICARE (PALMETTO)
OK
Enumeration date
04/10/2006
Last updated
08/07/2014
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