Individual provider · NPI-1
Juan Mannings, r.s.a.
Registered Nurse, Registered Nurse First Assistant · Lithonia, GA
NPI number1295976926
StatusActive
Last updated in NPPESJun 3, 2015
Details
- NPI
- 1295976926
- Entity type
- Individual (NPI-1)
- Name
- Mr. Juan Mannings
- Credential
- r.s.a.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 9, 2009
- Last updated
- Jun 3, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WR0006X | Registered Nurse, Registered Nurse First Assistant | 238.000396 | IL | Yes |
| 363AS0400X | Physician Assistant, Surgical | 238.000396 | IL |
Practice location
2218 Providence Point DrLithonia, GA 30058-5167
Phone 678-799-5661
Mailing address
2218 Providence Point DrLithonia, GA 30058-5167
Phone 678-799-5661
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