| Dr Justin Dale Manley, MD | |
|
4436 Mangum Dr, Flowood, MS 39232-2113 | |
| (769) 243-6141 | |
| Not Available |
| Full Name | Dr Justin Dale Manley |
|---|---|
| Gender | Male |
| Speciality | Surgery - Vascular Surgery |
| Location | 4436 Mangum Dr, Flowood, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871780544 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0129X | Surgery - Vascular Surgery | 27728 (Mississippi) | Primary |
| 208600000X | Surgery | 27728 (Mississippi) | Secondary |
| Entity Name | University Of Alabama Health Services Foundation, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093768723 PECOS PAC ID: 1951213107 Enrollment ID: O20031105000261 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Justin Dale Manley, MD 4436 Mangum Dr, Flowood, MS 39232-2113 Ph: () - | Dr Justin Dale Manley, MD 4436 Mangum Dr, Flowood, MS 39232-2113 Ph: (769) 243-6141 |
Dr. Suman Kumar Das, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2629 Courthouse Cir, Flowood, MS 39232 Phone: 601-362-0611 Fax: 601-362-0192 | |
Dr. Danon Eugenio Garrido Montes De Oca, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4436 Mangum Dr, Flowood, MS 39232 Phone: 601-586-7070 Fax: 601-586-7071 | |
Dr. Phillip Blaine Ley, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1020 N Flowood Dr Ste A, Flowood, MS 39232 Phone: 601-933-6132 | |
William Darden North, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1055 River Oaks Dr, Flowood, MS 39232 Phone: 601-939-9778 Fax: 601-939-9416 |