Stephen Robert Manock M.D.

NPI 1487865325 - Family Medicine - 207Q00000X

NPI Details
NPI 1487865325
Gender Male
Enumeration Date 05/24/2007
Last Updated 01/30/2008
Entity Type Individual
Active Over 9 years ago
Practice Location
111 MOCKINGBIRD AVE
PARROTTSVILLE TN, 37843, US
Phone (423) 625-1170
Fax (423) 625-3618
Business Location
PO BOX 99
PARROTTSVILLE TN, 37843-0099, US
Phone (423) 625-1170
Fax (423) 625-3618
Toxanomy
Taxonomy Code 207Q00000X
License State Tennessee
License Number 42357
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According to our database, Stephen Robert Manock M.D. NPI is 1487865325, taxonomy code is 207Q00000X and license number is 42357, license state is located at Tennessee. Stephen Robert Manock M.D. physically located at 111 Mockingbird Ave, Parrottsville TN, 37843. NPI Number Stephen Robert Manock M.D. has the Individual type.

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1487865325 NPI number is provided on an as is basis without warranty of any kind. 1487865325 is maintained by the National Plan & Provider Enumeration System. The contents of Stephen Robert Manock M.D. are for informational purposes only.