Provider Demographics
NPI:1700030459
Name:MANN, DAVID B (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:B
Last Name:MANN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:352 E PARKER RD STE B
Mailing Address - Street 2:
Mailing Address - City:MORGANTON
Mailing Address - State:NC
Mailing Address - Zip Code:28655-5122
Mailing Address - Country:US
Mailing Address - Phone:828-580-6410
Mailing Address - Fax:828-580-4779
Practice Address - Street 1:352 E PARKER RD STE B
Practice Address - Street 2:
Practice Address - City:MORGANTON
Practice Address - State:NC
Practice Address - Zip Code:28655-5122
Practice Address - Country:US
Practice Address - Phone:828-433-6410
Practice Address - Fax:828-438-4779
Is Sole Proprietor?:No
Enumeration Date:2008-11-07
Last Update Date:2018-09-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC2013-00091207YP0228X, 207YX0007X, 207YX0602X, 207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
No207YP0228XAllopathic & Osteopathic PhysiciansOtolaryngologyPediatric Otolaryngology
No207YX0007XAllopathic & Osteopathic PhysiciansOtolaryngologyPlastic Surgery within the Head & Neck
No207YX0602XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngic Allergy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1700030459Medicaid