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NPI Code Detail

MEDICARE: JOHN ALAN MANLEY M.D.

MEDICARE: JOHN ALAN MANLEY 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
1207RN0300XNephrology Physician200000534NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1127F3OTHERNCNC BLUE CROSS PROVIDER #
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1427051804
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN ALAN MANLEY M.D.
Provider Business Mailing Address
First Line : 10 MCDOWELL ST
Second Line :
City : ASHEVILLE
State : NC
Zip : 28801-4104
Country : US
Telephone Number : 828-258-8545
Fax Number : 828-254-0714
Provider Business Practice Location Address
First Line : 10 MCDOWELL ST
Second Line :
City : ASHEVILLE
State : NC
Zip : 28801-4104
Country : US
Telephone Number : 828-258-8545
Fax Number : 828-254-0714
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2005
Last Update Date : 02/06/2017

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