Phillip John Mannella D.C.

NPI 1073576732 - Chiropractor - 111N00000X

NPI Details
NPI 1073576732
Gender Male
Enumeration Date 04/11/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
5633 OAK ST
EASTMAN GA, 31023-5638, US
Phone (478) 374-1111
Fax (478) 374-1913
Business Location
5633 OAK ST
EASTMAN GA, 31023-5638, US
Phone (478) 374-1111
Fax (478) 374-1913
Toxanomy
Taxonomy Code 111N00000X
License State Georgia
License Number CHIR008089
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According to our database, Dr. Phillip John Mannella D.C. NPI is 1073576732, taxonomy code is 111N00000X and license number is CHIR008089, license state is located at Georgia. Phillip John Mannella D.C. physically located at 5633 Oak St, Eastman GA, 31023-5638. NPI Number Phillip John Mannella D.C. has the Individual type.

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1073576732 NPI number is provided on an as is basis without warranty of any kind. 1073576732 is maintained by the National Plan & Provider Enumeration System. The contents of Phillip John Mannella D.C. are for informational purposes only.