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Provider Information for 1134156615



DR. CHARLES ASHLEY MANN DDS

Gender: MALE

Individual NPI: 1134156615

Calendar Last Updated: 2007-07-08

Details

Name Value
NPI 1134156615
Enumeration Date 2006-06-28
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 315 E. CHATHAM ST. STE. 100
CARY, NC 27511
United States

Phone: 919-462-9338 | Fax: 919-462-9386
View Map External Link
Primary Practice Address 315 E CHATHAM ST STE. 100
CARY, NC 27511-3472
United States

Phone: 919-462-9338 | Fax: 919-462-9386
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 1223G0001X - Dentist General Practice NC 7007NC