Manda, Winfred C

Manda, Winfred C is an sole proprietor health care provider with primary practice located at 1350 Mackey Branch Dr Ste # 101, Chattanooga TN 37421-3482. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Manda, Winfred C can be contacted via phone (423) 553-1155.

Contact Information

Primary practice address
1350 Mackey Branch Dr Ste # 101 Chattanooga TN 37421-3482
Phone: (423) 553-1155
Fax: (423) 553-1124
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 38183 Tennessee
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X 038183 Tennessee
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 038183 Tennessee
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 038183 Tennessee

Profile Details

NPI number 1659384980
LBN Legal business name Manda, Winfred C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 15th, 2006
Last updated Apr 29th, 2020 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659384980 NPPES
Tennessee MEDICAID TN0101

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