Individual
DR. ERWIN M MANALO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 SISKIN PLZ STE 101, CHATTANOOGA, TN 37403-1306
(423) 803-2226
(423) 803-2222
Mailing address
1 SISKIN PLZ STE 101, CHATTANOOGA, TN 37403-1306
(423) 803-2226
(423) 803-2222
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
200301260
NC
2081P0301X
Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician
Primary
54591
TN
2081P0301X
Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician
79154
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
135CT
BCBS NC
NC
05
—
1982697876
—
NC
01
—
P00111583
RAILROAD MEDICARE
NC
Enumeration date
08/25/2005
Last updated
08/10/2021
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