Dr. Larry Douglas Mann
M.D. | Pediatric Adolescent Medicine | Male
Dr. Larry Douglas Mann, M.D. is a Raleigh, North Carolina based Pediatric doctor with medical specialization in
Pediatric Adolescent Medicine.
Current practice location of Dr. Larry Douglas Mann is
2406 Blue Ridge Rd, Suite 100, Raleigh, North Carolina - 27607-6678. He can be contacted on phone at
919-786-5001 and fax number 919-786-5051.
Dr. Larry Douglas Mann is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Larry Douglas Mann is
1538130026 which was assigned by NPPES on 01 Feb, 2006 and it was last updated on 08 Jul, 2007.
Dr. Larry Douglas Mann license number is
31574 for Pediatrics Adolescent Medicine (2080A0000X) in North Carolina.
Dr. Larry Douglas Mann specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Dr. Larry Douglas Mann basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Dr. Larry Douglas Mann |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Dr. Larry Douglas Mann address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 2406 Blue Ridge Rd, Suite 100
Raleigh, NC, 27607-6678
United States |
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| Phone Number : | 919-786-5001 |
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| Fax Number : | 919-786-5051 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1538130026 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 01 Feb, 2006 |
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| Last Updated On : | 08 Jul, 2007 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Larry Douglas Mann are as mentioned. Primary taxonomy code for Dr. Larry Douglas Mann, M.D. is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080A0000X | Pediatrics Adolescent Medicine | Yes | 31574 | NC |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Larry Douglas Mann such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 45876 | Other | NC | BLUECROSSBLUESHIELD INS # |
| 8953871 | MEDICAID | NC | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 2406 Blue Ridge Rd, Suite 100
Raleigh, NC, 27607-6678
United States |
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| Phone Number : | 919-786-5001 |
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| Fax Number : | 919-786-5051 |
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Business Location:
Patients can refer following map for directions to
Dr. Larry Douglas Mann practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.