Individual
MRS. GRETA C MANNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
490 DUNLOP LN, CLARKSVILLE, TN 37040-5007
(931) 245-8600
(931) 245-8660
Mailing address
PO BOX 3799, CLARKSVILLE, TN 37043-3799
(931) 245-8600
(931) 245-8660
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36432
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3879975
—
TN
Enumeration date
05/11/2006
Last updated
11/19/2021
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