Individual
ADRIEN MANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
701 GROVE RD, GREENVILLE, SC 29605-4210
(864) 455-7899
(864) 455-5474
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
3172
SC
363A00000X
Physician Assistant
Primary
3172
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3159PA
—
SC
Enumeration date
03/25/2019
Last updated
05/10/2021
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