DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DIANA M MANCUSO MD PA

Active Organization

Family Medicine · DOTHAN, AL

Registration Details

NPI Number
1366692246
Provider Type
Organization
NPI Issued
Sep 26, 2008 (17.596064095194 yrs)
Last Updated
Mar 9, 2009
License
4436 (AL)

Practice Information

Address
4300 W MAIN ST
SUITE 16
DOTHAN, AL, 363051054
Browse AL providers · Browse ZIP 36305
Phone
3347934120
Fax
3346158443
Primary Specialty
Family Medicine
207Q00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.