Dawn B Mancuso, Md, LLC

NPI #1114141744 in Madison, Alabama

Provider Information

NPI Number: 1114141744
Entity Type: Organization
Organization Name: Dawn B Mancuso, Md, LLC
Primary Specialty: Family Medicine
Enumeration Date: Apr 13, 2007
Last Updated: Dec 7, 2018

Practice Location

Address: 12205 COUNTY LINE RD
Address 2: SUITE B
City: Madison
State: Alabama
ZIP Code: 35758-7719
Phone: (256) 990-8446

Authorized Official

Name: MR. ANTHONY G MANCUSO
Title: CFO
Phone: (256) 990-8446

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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