Mancuso, Anthony D
Mancuso, Anthony D is an individual health care provider with primary practice located at 1 Meadows Pkwy , Vidalia GA 30474-8759. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Mancuso, Anthony D can be contacted via phone (912) 538-5359.Contact Information
Primary practice address
1 Meadows Pkwy
Vidalia GA 30474-8759
Phone: (912) 538-5359
Fax: (912) 538-5228
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 39238 | Kentucky |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 074890 | Georgia |
Profile Details
| NPI number | 1952393258 |
|---|---|
| LBN Legal business name | Mancuso, Anthony D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 22nd, 2005 |
| Last updated | Oct 26th, 2018 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952393258 | NPPES |
| Kentucky | MEDICAID | 64098015 |
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