Individual
DR. JOHN E. MANN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1106 CENTRAL DR, PHILADELPHIA, MS 39350-8972
(601) 656-6921
(601) 656-0381
Mailing address
PO BOX 2106, MERIDIAN, MS 39302-2106
(601) 703-4282
(601) 703-3080
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
05295
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00110589
—
MS
01
—
080121055
RAILROAD MEDICARE
—
01
—
288056YJ8J
MEDICARE
MS
Enumeration date
11/19/2005
Last updated
03/17/2018
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