MEDICARE: DAVID C MANN MD

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
1	207X00000X	Orthopaedic Surgery Physician	29370	WI
2	207XS0114X	Adult Reconstructive Orthopaedic Surgery Physician	MD37707	SC

Other Identifiers

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

General Provider Information

NPI Number	:	1396700902
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID C MANN MD

Provider Business Mailing Address
First Line	:	1220 SUMNER AVE
Second Line	:
City	:	NORTH CHARLESTON
State	:	SC
Zip	:	29406-3822
Country	:	US
Telephone Number	:	843-225-1115
Fax Number	:

Provider Business Practice Location Address
First Line	:	1220 SUMNER AVE
Second Line	:
City	:	NORTH CHARLESTON
State	:	SC
Zip	:	29406-3822
Country	:	US
Telephone Number	:	843-225-1115
Fax Number	:	608-265-6562

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/18/2006
Last Update Date	:	01/29/2021

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Directions to “ DAVID C MANN MD” Practice Location

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