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NPI Code Detail

MEDICARE: DR. FANI B MANNEY M.D.

MEDICARE: DR. FANI B MANNEY 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
1208VP0014XInterventional Pain Medicine Physician37851KY
2208VP0014XInterventional Pain Medicine Physician20422MS
32084N0400XNeurology Physician61336TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1611142277OTHERKYBLUEGRASS FAMILY HEALTH
2000000299753OTHERKYANTHEM
31280106OTHERKYCHA
416363600OTHERKYDOL
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
61392787OTHERKYUMWA
72162137OTHERKYFIRSTHEALTH
8611142277OTHERKYCORVEL
9611142277OTHERKYUNITED HEALTHCARE
10611142277WOTHERKYHUMANA
11611142277OTHERKYTRICARE
12K010972OTHERKYCHAMPUS
13P00029279OTHERKYRAILROAD MCR

General Provider Information

NPI Number : 1497752760
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. FANI B MANNEY M.D.
Provider Business Mailing Address
First Line : PO BOX 2861
Second Line :
City : CROSSVILLE
State : TN
Zip : 38557-2861
Country : US
Telephone Number : 931-200-2246
Fax Number : 931-707-9474
Provider Business Practice Location Address
First Line : 100 S DUNCAN ST
Second Line :
City : JAMESTOWN
State : TN
Zip : 38556-3009
Country : US
Telephone Number : 931-879-5864
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2005
Last Update Date : 11/08/2024

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Directions to “ DR. FANI B MANNEY M.D.” Practice Location

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