Individual
JAMES R MANNING III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
628 E 12TH ST, WASHINGTON, NC 27889-3409
(252) 946-0900
(252) 946-0900
Mailing address
1380 COWELL FARM RD, ATTN: ALLYSON WOOLARD, WASHINGTON, NC 27889-3431
(252) 946-0900
(252) 946-0900
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2005-00653
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13992
BLUE CROSS BLUE SHIELD NC
NC
05
—
5901518
—
NC
Enumeration date
10/05/2006
Last updated
11/24/2009
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