Healthcare Provider Details

I. General information

NPI: 1932288339
Provider Name (Legal Business Name): DONNA KAY MANEICE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/04/2006
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5190 MEDFORD DR SUITE 100
HOOVER AL
35244-2102
US

IV. Provider business mailing address

5190 MEDFORD DR STE 100
HOOVER AL
35244-2102
US

V. Phone/Fax

Practice location:
  • Phone: 772-222-5397
  • Fax: 205-800-8980
Mailing address:
  • Phone: 205-800-8887
  • Fax: 205-800-8980

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number15326
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number60026
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: