Manns, Melantha Dorthea

Manns, Melantha Dorthea is an individual health care provider with primary practice located at 4500 13Th Street , Gulfport MS 39501. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Manns, Melantha Dorthea can be contacted via phone (228) 867-4396.

Contact Information

Primary practice address
4500 13Th Street Gulfport MS 39501
Fax: (228) 867-5354
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 20915 Mississippi
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 20915 Mississippi

Profile Details

NPI number 1750615076
LBN Legal business name Manns, Melantha Dorthea
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2009
Last updated Oct 4th, 2023 - about last year

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 1750615076 NPPES
Mississippi MEDICAID 03442094

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