Dr. Diane Manning Pennington
Oral and Maxillofacial Surgeon
1891 Ga Highway 40 E Suite 1104
Kingsland
, Georgia 31548-6572
Dr. Diane Manning Pennington
Oral and Maxillofacial Surgeon
1891 Ga Highway 40 E Suite 1104
Kingsland
, Georgia 31548-6572
(612) 576-1846
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. Diane Manning Pennington
- 73 Hawthorn Ln
- Saint Marys, GA
- Zip : 31558-4026
- Fax : (612) 576-1846
- Phone : (912) 673-6545
Second Address
- Dr. Diane Manning Pennington
- 1891 Ga Highway 40 E Suite 1104
- Kingsland, GA
- Zip : 31548-6572
- Fax : (912) 576-1846
- Phone : (912) 673-6545
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223S0112X | Oral and Maxillofacial Surgeon | DN011196 | GA |
National Provider Identifier
| NPI | 1073695516 |
|---|---|
| Provider Name | Dr. Diane Manning Pennington |
| First Address | Saint Marys, GA 31558-4026 |
| Second Address | Kingsland, GA 31548-6572 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/10/2006 |
| Last Update Date | 19/11/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| H97236 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.