MR. Edward Matthew Maner, PA-C

NPI #1760197958 in Forest, Mississippi

Provider Information

NPI Number: 1760197958
Entity Type: Individual
Name: MR. Edward Matthew Maner, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jan 23, 2023
Last Updated: Apr 26, 2023

Practice Location

Address: 330 N BROAD ST
City: Forest
State: Mississippi
ZIP Code: 39074-3508
Phone: (601) 469-4151

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medical Technician, Basic	146N00000X
Physician Assistant	363A00000X	Primary

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