Individual
DR. DONNA KAY MANEICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4280 WATERMELON RD STE 112, NORTHPORT, AL 35473-5250
(205) 750-0030
(205) 750-0855
Mailing address
4280 WATERMELON RD STE 112, NORTHPORT, AL 35473-5250
(205) 750-0030
(205) 750-0855
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
15326
AL
207RR0500X
Rheumatology Physician
60026
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
143365
AMERICAN BOARD OF INTERNAL MEDICINE
AL
01
—
51000132
BLUE CROSS/ BLUE SHIELD
AL
Enumeration date
11/04/2006
Last updated
02/28/2022
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