Diana M Mancuso Md Pa

LBN: Diana M Mancuso Md Pa
Diana M Mancuso Md Pa is an health care organization with primary practice located at 4300 W Main St Suite 16, Dothan AL 36305-1054. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Diana M Mancuso Md Pa can be contacted via phone (334) 793-4120, or through Mancuso, Diana M via phone (334) 793-4120.

Contact Information

Primary practice address
4300 W Main St Suite 16 Dothan AL 36305-1054
Phone: (334) 793-4120
Fax: (334) 615-8443
Website:
Map and Directions
Authorized official contact:
Name: Mancuso, Diana M Doctor of Medicine (MD)
Phone: (334) 793-4120

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4436 Alabama

Profile Details

NPI number 1366692246
LBN Legal business name Diana M Mancuso Md Pa
DBA Doing business as
Authorized official Mancuso, Diana M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 26th, 2008
Last updated Mar 9th, 2009 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366692246 NPPES
Alabama Other 000000013 MEDICARE PROVIDER NUMBER
Alabama MEDICAID 000000013 MEDICARE PROVIDER NUMBER

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