Manning, Michael Joseph

Manning, Michael Joseph is an individual health care provider with primary practice located at 2215 Exchange Pl Se , Conyers GA 30013-6723. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Manning, Michael Joseph can be contacted via phone (770) 922-3522.

Contact Information

Primary practice address
2215 Exchange Pl Se Conyers GA 30013-6723
Fax: (770) 922-3662
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 033397 Georgia

Profile Details

NPI number 1891791596
LBN Legal business name Manning, Michael Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2005
Last updated Nov 29th, 2017 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891791596 NPPES
Georgia Other 0106242 UNITED HEALTHCARE
Georgia MEDICAID 00431747C UNITED HEALTHCARE
Georgia Other 582361278 UNITED HEALTHCARE
Georgia Other 005301 UNITED HEALTHCARE
Georgia Other 4119030001 UNITED HEALTHCARE
Georgia Other 5124 UNITED HEALTHCARE
Georgia Other 080119233 UNITED HEALTHCARE

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