DAWN B MANCUSO, MD, LLC
Marriage and Family Therapists at County Line Rd, Madison, AL

License number
Alabama 00015990
Category
Osteopathic Medicine
Type
Family Medicine
Owner
Name: MR. ANTHONY G MANCUSO
Title: CFO
Phone: (256) 990-8446
Address
Address
12205 County Line Rd SUITE B, Madison, AL 35758
National Provider ID: 1114141744
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Dawn B. Mancuso, M.D., LLC

Madison, AL

Industry:
MEDICAL PRACTICE
Registration:
Dec 22, 2006
State ID:
487-882
Business type:
Domestic Limited Liability Company
Formation place:
Madison County
Members:
Dawn B Mancuso (member),Anthony G Mancuso (member)

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