Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0106X | Orthopaedic Hand Surgeon | 35.126454 | OH |
NPI | 1285800680 |
---|---|
Provider Name | Mollie O Manley |
First Address | Akron, OH 44333-8400 |
Second Address | Akron, OH 44333-8400 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/05/2008 |
Last Update Date | 01/06/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0132246 | (05) | OH |