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NPI Code Detail

MEDICARE: DR. STUART HALL MANNING M.D.

MEDICARE: DR. STUART HALL MANNING M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician0023213NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1043217086
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STUART HALL MANNING M.D.
Provider Business Mailing Address
First Line : 177 MONTROSE DR
Second Line :
City : DURHAM
State : NC
Zip : 27707-3929
Country : US
Telephone Number : 919-599-7036
Fax Number : 919-226-0390
Provider Business Practice Location Address
First Line : 508 FULTON ST
Second Line : C/O DURHAM VA MEDICAL CENTER
City : DURHAM
State : NC
Zip : 27705-3875
Country : US
Telephone Number : 919-599-7036
Fax Number : 919-226-0390
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/06/2005
Last Update Date : 02/24/2014

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