| Doctor Name: | JOHN MANINGAS |
| NPI Number: | 1518197375 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | R155957 |
| Business Practice Address: | 655 South 7th Street Bldg 700/700-a 78 Mdg/sgof Robins Afb, GA - 31098 |
| Business Phone Number: | 4783277817 |
| Business Fax Number: | |
| Mailing Address: | 655 7th St, Blg 700/700a ROBINS AFB |
| State: | GA |
| Postal Code: | 310982227 |
| Phone Number: | 4783277817 |
| Fax Number: | |
| NPI Enumeration Date: | 07/15/2009 |
| NPI Last Update Date: | 08/12/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SF0001X |
| License Number: | R155957 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Family Health |
| Taxonomy Definition: | |