David Lonnie Maness D.O.

NPI 1093705576 - Family Medicine - 207Q00000X

NPI Details
NPI 1093705576
Gender Male
Enumeration Date 10/25/2005
Last Updated 10/20/2015
Entity Type Individual
Active Over 11 years ago
Practice Location
294 SUMMAR DR
JACKSON TN, 38301-3915, US
Phone (731) 423-1932
Fax (731) 410-0367
Business Location
294 SUMMAR DR
JACKSON TN, 38301-3915, US
Phone (731) 423-1932
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Georgia
License Number 28293
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According to our database, Dr. David Lonnie Maness D.O. NPI is 1093705576, taxonomy code is 207Q00000X and license number is 28293, license state is located at Georgia. David Lonnie Maness D.O. physically located at 294 Summar Dr, Jackson TN, 38301-3915. NPI Number David Lonnie Maness D.O. has the Individual type.

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1093705576 NPI number is provided on an as is basis without warranty of any kind. 1093705576 is maintained by the National Plan & Provider Enumeration System. The contents of David Lonnie Maness D.O. are for informational purposes only.