Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111NI0013X | Independent Medical Examiner | 3294 | NC |
N | 111NN0400X | Neurology | 3294 | NC |
N | 111NN1001X | Nutrition | 3294 | NC |
Y | 111NS0005X | Chiropractic Sports Physician | 3294 | NC |
NPI | 1649448077 |
---|---|
Provider Name | Dr. Milton Dion Manning |
First Address | Wake Forest, NC 27587-2446 |
Second Address | Wake Forest, NC 27587-2446 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/02/2008 |
Last Update Date | 19/02/2008 |