Manns, Melantha Dorthea
Manns, Melantha Dorthea is an individual health care provider with primary practice located at 4500 13Th Street , Gulfport MS 39501. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Manns, Melantha Dorthea can be contacted via phone (228) 867-4396.Contact Information
Primary practice address
4500 13Th Street
Gulfport MS 39501
Phone: (228) 867-4396
Fax: (228) 867-5354
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 20915 | Mississippi |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 20915 | Mississippi |
Profile Details
| NPI number | 1750615076 |
|---|---|
| LBN Legal business name | Manns, Melantha Dorthea |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 21st, 2009 |
| Last updated | Oct 4th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750615076 | NPPES |
| Mississippi | MEDICAID | 03442094 |
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