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NPI Code Detail

MEDICARE: DR. JAMES HAMPTON MANNING PHARMD

MEDICARE: DR. JAMES HAMPTON MANNING PHARMD
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
1183500000XPharmacist12974SC

General Provider Information

NPI Number : 1245651132
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMES HAMPTON MANNING PHARMD
Provider Business Mailing Address
First Line : 2917 WINDING RIVER RD
Second Line :
City : NORTH MYRTLE BEACH
State : SC
Zip : 29582-9436
Country : US
Telephone Number : 843-845-7905
Fax Number : 843-215-3690
Provider Business Practice Location Address
First Line : 2751 BEAVER RUN BLVD
Second Line :
City : SURFSIDE BEACH
State : SC
Zip : 29575-5381
Country : US
Telephone Number : 843-231-3174
Fax Number : 843-215-3690
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/19/2013
Last Update Date : 12/19/2013

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