Manley, Justin Dale

Manley, Justin Dale is an individual health care provider with primary practice located at 4436 Mangum Dr , Flowood MS 39232-2113. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Manley, Justin Dale can be contacted via phone (769) 243-6141.

Contact Information

Primary practice address
4436 Mangum Dr Flowood MS 39232-2113
Phone: (769) 243-6141
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 27728 Mississippi
Allopathic & Osteopathic Physicians / Surgery 208600000X 27728 Mississippi

Profile Details

NPI number 1871780544
LBN Legal business name Manley, Justin Dale
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2007
Last updated Dec 26th, 2023 - about 2 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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