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NPI Code Detail

MEDICARE: DAVID T. MANLY M.D.

MEDICARE: DAVID T. MANLY 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
12084P0800XPsychiatry Physician31733NC

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1260044022OTHERRAILROAD MEDICARE B

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
253876OTHERNCBCBS
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1902898018
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID T. MANLY M.D.
Provider Business Mailing Address
First Line : PO BOX 1869
Second Line :
City : FLETCHER
State : NC
Zip : 28732-1869
Country : US
Telephone Number : 828-687-5616
Fax Number : 828-650-8076
Provider Business Practice Location Address
First Line : 100 HOSPITAL DR
Second Line :
City : HENDERSONVILLE
State : NC
Zip : 28792-5272
Country : US
Telephone Number : 828-684-1115
Fax Number : 828-687-6064
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2005
Last Update Date : 10/11/2016

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