DAWN B MANCUSO, MD, LLC

MADISON, AL
NPI1114141744
Doing Business AsHERITAGE FAMILY MEDICINE
Entity TypeOrganization
Authorized ContactANTHONY G MANCUSO
CFO
256-990-8446
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: AL  00015990)
Enumeration Date2007-04-13
Last Update Date2018-12-07
Business Address
DAWN B MANCUSO, MD, LLC
12205 COUNTY LINE RD SUITE B
MADISON, AL 35758-7719
Phone number: 256-990-8446
Mailing Address
DAWN B MANCUSO, MD, LLC
PO BOX 617
MADISON, AL 35758-0617
Phone number: 256-990-8446