MEDICARE: TONI NMI MANOS 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
1	207PE0004X	Emergency Medical Services (Emergency Medicine) Physician	12572	SC

General Provider Information

NPI Number	:	1508158296
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TONI NMI MANOS M.D.

Provider Business Mailing Address
First Line	:	PO BOX 49
Second Line	:	1742 E.ASHLEY AVE.
City	:	FOLLY BEACH
State	:	SC
Zip	:	29439-0049
Country	:	US
Telephone Number	:	843-588-6300
Fax Number	:	843-588-6300

Provider Business Practice Location Address
First Line	:	1742 E. ASHLEY AVE.
Second Line	:
City	:	FOLLY BEACH
State	:	SC
Zip	:	29439-0049
Country	:	US
Telephone Number	:	843-588-6300
Fax Number	:	843-588-6300

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

Provider Enumeration Date	:	05/12/2011
Last Update Date	:	04/23/2025

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