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Individual

MORRIS JAVONTE MANNING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
7637 LILLY DR, SOUTHAVEN, MS 38671-5300
(662) 703-8937
Mailing address
7637 LILLY DR, SOUTHAVEN, MS 38671-5300
(662) 703-8937

Taxonomy

Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
Primary
919966033
MS

Other

Enumeration date
04/20/2026
Last updated
04/20/2026
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