Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | F02211307 | TN |
Y | 207R00000X | Internist | F02211307 | TN |
Y | 111NI0900X | Internist | F02211307 | TN |
NPI | 1003400284 |
---|---|
Provider Name | James M Manley |
First Address | Clinton, TN 37716-6539 |
Second Address | Powell, TN 37849-4029 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/02/2021 |
Last Update Date | 27/02/2021 |