| Dawn B Mancuso, Md, Llc | |
|
12205 County Line Rd Suite B Madison AL 35758-7719 | |
| (256) 990-8446 | |
| (256) 461-0393 |
| Full Name | Dawn B Mancuso, Md, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 12205 County Line Rd, Madison, Alabama |
| Authorized Official Name and Position | Anthony G Mancuso (CFO) |
| Authorized Official Contact | 2569908446 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dawn B Mancuso, Md, Llc Po Box 617 Madison AL 35758-0617 Ph: (256) 990-8446 | Dawn B Mancuso, Md, Llc 12205 County Line Rd Suite B Madison AL 35758-7719 Ph: (256) 990-8446 |
| NPI Number | 1114141744 |
|---|---|
| Provider Enumeration Date | 04/13/2007 |
| Last Update Date | 12/07/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114141744 | NPI | - | NPPES |
| 529910550 | Medicaid | AL | |
| 051506404 | Other | AL | MANCUSO BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 00015990 (Alabama) | Primary |
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American Family Care, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7559 Hwy 72 W, Madison, AL 35758 Phone: 256-562-0850 Fax: 256-562-0854 | |
Madison Family Health, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3776 Sullivan St, Suite D, Madison, AL 35758 Phone: 256-325-0302 Fax: 256-325-0391 | |
Progressivehealth Healthspot, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9000 Greenbrier Pkwy Nw, Madison, AL 35756 Phone: 256-893-9500 |