Doctor Name: | DR. MATTHEW L MANCINI |
NPI Number: | 1194755454 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | MD31380 |
Business Practice Address: | 1934 Alcoa Hwy Suite D-285 Knoxville, TN - 379201511 |
Business Phone Number: | 8653059620 |
Business Fax Number: | 8655253460 |
Mailing Address: | 1934 Alcoa Hwy, Suite D-285 KNOXVILLE |
State: | TN |
Postal Code: | 379201511 |
Phone Number: | 8653059620 |
Fax Number: | 8655253460 |
NPI Enumeration Date: | 07/03/2006 |
NPI Last Update Date: | 04/12/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | MD31380 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |