| Doctor Name: | DR. GINGER LYNNE MANOS |
| NPI Number: | 1023217908 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | MD32127 |
| Business Practice Address: | 492 N Wilson St Crestview, FL - 325363442 |
| Business Phone Number: | 8503988815 |
| Business Fax Number: | 8503988826 |
| Mailing Address: | 492 N Wilson St, CRESTVIEW |
| State: | FL |
| Postal Code: | 325363442 |
| Phone Number: | 8503988815 |
| Fax Number: | 8503988826 |
| NPI Enumeration Date: | 07/12/2007 |
| NPI Last Update Date: | 07/09/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2086S0129X |
| License Number: | MD32127 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Surgery |
| Taxonomy Specialization: | Vascular Surgery |
| Taxonomy Definition: | A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |