Larry Douglas Mann in Raleigh - Adolescent Medicine
Larry Douglas Mann - NPI 1538130026
Larry Douglas Mann is a Adolescent Medicine in Raleigh, North Carolina. Larry Douglas Mann practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Larry Douglas Mann is 1538130026. The last update date is 2007-07-08.
Larry Douglas Mann's current location address is 2406 Blue Ridge Rd, Raleigh, North Carolina. You can contact this provider via phone number 9197865001 and fax number 9197865051. The mailing address for Larry Douglas Mann is 2406 Blue Ridge Rd, Raleigh, North Carolina. To know further, please read the information below!
Provider Profile Detail
Provider Name | Larry Douglas Mann |
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Address | 2406 Blue Ridge Rd, Raleigh, North Carolina |
Phone Number | 9197865001 |
Fax Number | 9197865051 |
Sole Proprietor | N |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1538130026 |
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Provider Enumeration Date | 2006-02-01 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 2406 Blue Ridge Rd |
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City | Raleigh |
State | North Carolina (NC) |
Post Code | 276076678 |
Phone Number | 9197865001 |
Fax Number | 9197865051 |
Provider's Primary Taxonomy Detail
Speciality | Adolescent Medicine |
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Taxonomy | 2080A0000X |
Licence No | 31574 |
Definition: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
45876 | NC | BLUECROSSBLUESHIELD INS # | |
8953871 | NC | -- |
Post Comment/ Review Below
What is the Larry Douglas Mann's 1538130026?
The Larry Douglas Mann's NPI (National Provider Identifier) Number is 1538130026. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Larry Douglas Mann's facilities are geographically located?
The facilities of Larry Douglas Mann are physically situated at the following location: 2406 Blue Ridge Rd, Raleigh, NC, 276076678.
What is Larry Douglas Mann's area of expertise and its corresponding taxonomy classification?
The Larry Douglas Mann's field of specialization is Adolescent Medicine, and it falls under the taxonomy code 2080A0000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1538130026 to Larry Douglas Mann?
The Larry Douglas Mann received its 1538130026 assignment from the Centers for Medicare & Medicaid Services on 2006-02-01.
When was the information regarding Larry Douglas Mann most recently updated?
The details pertaining to the Larry Douglas Mann, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
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