Vaughn H. Mancha, Jr., P.c.

NPI 1851685150 - Family Medicine - 207Q00000X

NPI Details
NPI 1851685150
Enumeration Date 06/03/2011
Last Updated 11/19/2014
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name DEBORAH B DEBORAH
Position VICE-PRESIDENT
Phone (334) 300-2511
Fax
Practice Location
17328 BURWICK LOOP
FAIRHOPE AL, 36532-5243, US
Phone (334) 300-2511
Fax
Business Location
17328 BURWICK LOOP
FAIRHOPE AL, 36532-5243, US
Phone (334) 300-2573
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Alabama
License Number 14167
Remove 1851685150 NPI Number
 

According to our database, Vaughn H. Mancha, Jr., P.c. NPI is 1851685150, taxonomy code is 207Q00000X and license number is 14167, license state is located at Alabama. Vaughn H. Mancha, Jr., P.c. physically located at 17328 Burwick Loop, Fairhope AL, 36532-5243. NPI Number 1033115704 has the healthcare provider type.

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1851685150 NPI number is provided on an as is basis without warranty of any kind. 1851685150 is maintained by the National Plan & Provider Enumeration System. The contents of Vaughn H. Mancha, Jr., P.c. are for informational purposes only.