Individual provider · NPI-1
John Michael Manning Jr., M.D.
Phlebology · Madison, MS
NPI number1649211772
StatusActive
Last updated in NPPESJan 30, 2025
Details
- NPI
- 1649211772
- Entity type
- Individual (NPI-1)
- Name
- John Michael Manning Jr.
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 9, 2006
- Certification date
- Jan 30, 2025
- Last updated
- Jan 30, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 202K00000X | Phlebology | 13190 | MS | Yes |
| 207L00000X | Anesthesiology | 13190 | MS | |
| 207RE0101X | Internal Medicine, Endocrinology, Diabetes & Metabolism | 13190 | MS |
Other names
- Michael Manning (Other Name)
Practice location
111 Fountains Blvd.Madison, MS 39110
Phone 601-707-7026 · Fax 601-707-7054
Mailing address
111 Fountains BlvdMadison, MS 39110
Phone 601-707-7026 · Fax 601-707-7054
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.