Mary C. Mancao
Pediatrician Pediatric Infectious Diseases
1504 Springhill Ave Suite 1430
Mobile
, Alabama 36604-3207
Mary C. Mancao
Pediatrician Pediatric Infectious Diseases
1504 Springhill Ave Suite 1430
Mobile
, Alabama 36604-3207
(251) 470-5809
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About
Features
Specialties
- Pediatrician
- Pediatric Infectious Diseases
Languages spoken
- English
Location
First Address
- Mary C. Mancao
- Po Box 40480
- Mobile, AL
- Zip : 36640-0480
- Fax : (251) 470-5809
- Phone : (251) 470-5842
Second Address
- Mary C. Mancao
- 1504 Springhill Ave Suite 1430
- Mobile, AL
- Zip : 36604-3207
- Fax : (251) 434-3852
- Phone : (251) 405-5147
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208000000X | Pediatrician | 17261 | AL |
| Y | 2080P0208X | Pediatric Infectious Diseases | 17261 | AL |
National Provider Identifier
| NPI | 1578517637 |
|---|---|
| Provider Name | Mary C. Mancao |
| First Address | Mobile, AL 36640-0480 |
| Second Address | Mobile, AL 36604-3207 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/05/2006 |
| Last Update Date | 15/04/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00112081 | (05) | MS |
| 1115606 | (05) | LA |
| 51088377 | BLUE CROSS (01) | AL |
| 51505893 | BLUE CROSS (01) | AL |
| 92-10078 | UNITED HEALTH CARE (01) | AL |
| F60714 | (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.