Individual
BRIAN MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
7473 C HWY 22, WHISPERING PINES, NC 28327-0000
(910) 215-5100
(910) 215-5114
Mailing address
PO BOX 843298, BOSTON, MA 02284-3298
(910) 215-5100
(910) 215-5114
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11548
NC
363A00000X
Physician Assistant
50001829
OH
Other
Enumeration date
10/31/2006
Last updated
10/06/2014
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