Jeffrey Derrick Manord in Russellville - Vascular Surgery
Jeffrey Derrick Manord - NPI 1275587552
Jeffrey Derrick Manord is a Vascular Surgery in Russellville, Alabama. Jeffrey Derrick Manord practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for Jeffrey Derrick Manord is 1275587552. The last update date is 2022-03-29.
Jeffrey Derrick Manord's current location address is Po Box 660, Russellville, Alabama. You can contact this provider via phone number 2563321500 and fax number 2563988888. The mailing address for Jeffrey Derrick Manord is Po Box 660, Russellville, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffrey Derrick Manord |
|---|---|
| Address | Po Box 660, Russellville, Alabama |
| Phone Number | 2563321500 |
| Fax Number | 2563988888 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1275587552 |
|---|---|
| Provider Enumeration Date | 2006-05-20 |
| Last Updated Date | 2022-03-29 |
Provider Mailing Address Detail
| Address | Po Box 660 |
|---|---|
| City | Russellville |
| State | Alabama (AL) |
| Post Code | 356530616 |
| Phone Number | 2563321500 |
| Fax Number | 2563988888 |
Provider's Primary Taxonomy Detail
| Speciality | Vascular Surgery |
|---|---|
| Taxonomy | 2086S0129X |
| Licence No | 23436 |
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Definition: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 126779 | AL | -- | |
| 511-17526 | AL | BCBS OF ALABAMA |
Post Comment/ Review Below
What is the unique identifier code issued to Jeffrey Derrick Manord by the Centers for Medicare & Medicaid Services (CMS)?
The Jeffrey Derrick Manord has been assigned the NPI (National Provider Identifier) 1275587552. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Jeffrey Derrick Manord is located?
The Jeffrey Derrick Manord is situated at the following address: Po Box 660, Russellville, AL, 356530616.
What is Jeffrey Derrick Manord's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jeffrey Derrick Manord's specialized field of practice is Vascular Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 2086S0129X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1275587552 to Jeffrey Derrick Manord?
The Centers for Medicare & Medicaid Services originally issued the 1275587552 to Jeffrey Derrick Manord on 2006-05-20.
When was the information regarding Jeffrey Derrick Manord most recently updated?
The details pertaining to the Jeffrey Derrick Manord, including its address, specialty, and other relevant information, were last refreshed on 2022-03-29.