| Manuli Internal Medicine, Pllc | |
|
104 Mill End Ct Elizabeth City NC 27909-8986 | |
| (252) 338-5183 | |
| (252) 338-5669 |
| Full Name | Manuli Internal Medicine, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 104 Mill End Ct, Elizabeth City, North Carolina |
| Authorized Official Name and Position | Steven P Manuli (CEO) |
| Authorized Official Contact | 2523385183 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Manuli Internal Medicine, Pllc 104 Mill End Ct Elizabeth City NC 27909-8986 Ph: (252) 338-5183 | Manuli Internal Medicine, Pllc 104 Mill End Ct Elizabeth City NC 27909-8986 Ph: (252) 338-5183 |
| NPI Number | 1235333584 |
|---|---|
| Provider Enumeration Date | 06/12/2007 |
| Last Update Date | 04/19/2021 |
| Medicare PECOS PAC ID | 9032137690 |
|---|---|
| Medicare Enrollment ID | O20051102001097 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235333584 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 9601393 (North Carolina) | Primary |
| 207RS0012X | Internal Medicine - Sleep Medicine | 182382 (North Carolina) | Secondary |
| Provider Name | Mechell S Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538272679 PECOS PAC ID: 5991795072 Enrollment ID: I20040513000552 |
| Provider Name | Steven P Manuli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245236959 PECOS PAC ID: 4183512650 Enrollment ID: I20050131000392 |
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