Etta W Mcmanus
Contractor • Grand Bay, AL
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Etta Mcmanus has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Etta Mcmanus was a registered Contractor practicing in Grand Bay, AL. Throughout an active medical career spanning 14 years, Etta Mcmanus provided care at the practice location at 13333 ROY MILLER RD # A until profile deactivation on 2021-10-22.
Practice Location & Contact Primary Location
13333 Roy Miller Rd # A
Grand Bay, AL 365416829
Specialty Benchmarks & Practice Insights
Comparative analytics for Contractor in Grand Bay, AL
Practicing in Grand Bay, AL (63 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 171W00000X
A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on October 22, 2021
NPI status registered as active in NPPES database
Registered at 13333 ROY MILLER RD # A, GRAND BAY, AL 365416829 (Tel: 2518653359)
Registered at 13333 ROY MILLER RD # A, GRAND BAY, AL 365416829 (Tel: 2518653359)
Recorded as ETTA MCMANUS
Contractor (License #2007-006225 in AL)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
13333 Roy Miller Rd # A
Grand Bay, AL 365416829
Phone: 2518653359
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