Provider / Organization | NPI | Date Certified |
---|---|---|
PRESTON ALEXANDER MANESS | 1164006888 | 2023-12-13 |
Preston Alexander Maness is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1164006888. Registration indicates Preston Alexander Maness is a provider of services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Anesthesiologist Assistant (Anesthesiologist Assistant, ) (Anesthesiologist Assistant, Physician Assistants & Advanced Practice Nursing Providers) (Physician Assistants & Advanced Practice Nursing Providers, Anesthesiologist Assistant) (Anesthesiologist Assistant, ) (Anesthesiologist Assistant, Physician Assistants & Advanced Practice Nursing Providers)
Entity Type | Individual |
Provider Name | Preston Alexander Maness CAA |
Practice Office Address | 1000 JOHNSON FERRY RD ATLANTA, GA US |
Practice Office Telephone | 4048518917 |
Practice Office Fax | 4043033636 |
Mailing Address | 1000 JOHNSON FERRY RD ATLANTA, GA 303421606 US |
Business Telephone | 4048518917 |
Business Fax | 4043033636 |
Address | City / State | Phone / Fax |
---|---|---|
3301 College Ave | Davie, FL 333147721 | 8005416682 |
919 E 32nd St | Austin, TX 787052703 | 5124767111 |
Code | Practice | License No State |
---|---|---|
367H00000X | Physician Assistants & Advanced Practice Nursing Providers Anesthesiologist Assistant Anesthesiologist Assistant Anesthesiologist Assistant Physician Assistants & Advanced Practice Nursing Providers |
TX |
367H00000X PRIMARY | Physician Assistants & Advanced Practice Nursing Providers Anesthesiologist Assistant Anesthesiologist Assistant Anesthesiologist Assistant Physician Assistants & Advanced Practice Nursing Providers | 10593
GA |