Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 2013-00091 | NC |
N | 207YP0228X | Pediatric Otolaryngology | 2013-00091 | NC |
N | 207YX0007X | Plastic Surgeon (Head & Neck) | 2013-00091 | NC |
NPI | 1700030459 |
---|---|
Provider Name | Dr. David B Mann |
First Address | Morganton, NC 28655-5122 |
Second Address | Morganton, NC 28655-5122 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/11/2008 |
Last Update Date | 24/09/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1700030459 | (05) | NC |