1932288339 NPI number — DR. DONNA KAY MANEICE M.D.

Table of content: DR. DONNA KAY MANEICE M.D. (NPI 1932288339)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1932288339 NPI number — DR. DONNA KAY MANEICE M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MANEICE
Provider First Name:
DONNA
Provider Middle Name:
KAY
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1932288339
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/10/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5190 MEDFORD DR STE 100
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HOOVER
Provider Business Mailing Address State Name:
AL
Provider Business Mailing Address Postal Code:
35244-2102
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
205-800-8887
Provider Business Mailing Address Fax Number:
205-800-8980

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5190 MEDFORD DR
Provider Second Line Business Practice Location Address:
SUITE 100
Provider Business Practice Location Address City Name:
HOOVER
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
35244-2102
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
772-222-5397
Provider Business Practice Location Address Fax Number:
205-800-8980
Provider Enumeration Date:
11/04/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207RR0500X , with the licence number:  15326 , registered in the state of AL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 207RR0500X , with the licence number: 60026 , registered in the state of GA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 143365 . This is a "AMERICAN BOARD OF INTERNAL MEDICINE" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".




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