Provider Demographics
NPI:1992717490
Name:MANN, MARGARET WING-YAN (MD)
Entity type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:WING-YAN
Last Name:MANN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 MAPLE ROW BLVD
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37075-3853
Mailing Address - Country:US
Mailing Address - Phone:615-266-3376
Mailing Address - Fax:
Practice Address - Street 1:105 MAPLE ROW BLVD
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:TN
Practice Address - Zip Code:37075-3853
Practice Address - Country:US
Practice Address - Phone:615-266-3376
Practice Address - Fax:484-918-8506
Is Sole Proprietor?:No
Enumeration Date:2006-08-13
Last Update Date:2021-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-098349207ND0101X
MO2006018686207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ND0101XAllopathic & Osteopathic PhysiciansDermatologyMOHS-Micrographic Surgery
No207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
210993OtherMO-BLUE SHIELD
OH0057893Medicaid
OH0057893Medicaid
210993OtherMO-BLUE SHIELD
OHP01026148Medicare PIN