DIANA M MANCUSO MD PA

DOTHAN, AL
NPI1366692246
Entity TypeOrganization
Authorized ContactDIANA M MANCUSO
President
334-793-4120
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: AL  4436)
Enumeration Date2008-09-26
Last Update Date2009-03-09
Business Address
DIANA M MANCUSO MD PA
4300 W MAIN ST SUITE 16
DOTHAN, AL 36305-1054
Phone number: 334-793-4120
Mailing Address
DIANA M MANCUSO MD PA
4300 W MAIN ST SUITE 16
DOTHAN, AL 36305-1054
Phone number: 334-793-4120
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