Provider Demographics
NPI:1598762361
Name:MANY, ANGELA S (MD)
Entity Type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:S
Last Name:MANY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:609 MCFARLAND ST
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:37814-3976
Mailing Address - Country:US
Mailing Address - Phone:423-585-0442
Mailing Address - Fax:423-586-2146
Practice Address - Street 1:120 HOSPITAL DR
Practice Address - Street 2:SUITE 250
Practice Address - City:JEFFERSON CITY
Practice Address - State:TN
Practice Address - Zip Code:37760-5279
Practice Address - Country:US
Practice Address - Phone:865-475-1009
Practice Address - Fax:865-475-2274
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN39929174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist