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Dr. Theodore Bergen Manny JR., MD
Urology Physician in Greensboro, North Carolina
NPI 1871773143

Theodore Bergen Manny JR. is a Urology Physician based in Greensboro, NC. Theodore Bergen Manny JR. practices in Greensboro, NC and has the professional credentials of MD. The NPI Number for Theodore Bergen Manny JR. is 1871773143 and holds a License No. 2012-00902 (North Carolina).

The current practice location address for Theodore Bergen Manny JR. is 509 N Elam Ave Fl 2, Greensboro, NC and can be reached out via phone at 336-274-1114 and via fax at 336-274-9638.

Location: 509 N Elam Ave Fl 2, Greensboro, NC, 27403-1157
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871773143
Provider Name
Theodore Bergen Manny JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
509 N Elam Ave Fl 2, Greensboro, NC, 27403-1157
Phone Number
336-274-1114
Fax Number
336-274-9638
Provider Enumeration Date
11/05/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5921067 05 NC
institution
Provider Business Practice Location Address Details
Address
509 N Elam Ave Fl 2
City
Greensboro
State
North Carolina
Zip
27403-1157
Phone Number
336-274-1114
Fax Number
336-274-9638
person
Provider Business Mailing Address Details
Address
509 N Elam Ave Fl 2
City
Greensboro
State
North Carolina
Zip
27403-1157
Phone Number
336-274-1114
Fax Number
336-274-9638
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
208800000X
License No.
2012-00902 (North Carolina)
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
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