Provider Demographics
NPI:1568639672
Name:MCMANUS, BEVERLY COHRON (MS)
Entity Type:Individual
Prefix:MRS
First Name:BEVERLY
Middle Name:COHRON
Last Name:MCMANUS
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2550 MERIDIAN BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-6384
Mailing Address - Country:US
Mailing Address - Phone:615-293-5812
Mailing Address - Fax:
Practice Address - Street 1:2550 MERIDIAN BLVD STE 200
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-6384
Practice Address - Country:US
Practice Address - Phone:615-293-5812
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-08
Last Update Date:2019-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1934251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health