Matthew Thomas Manzo (NPI# 1376591636, PAC ID# 2264334770) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1376591636 |
| PAC ID by PECOS | 2264334770 |
| Professional Enrollment ID | I20040124000168 |
| Full Name | Matthew Thomas Manzo |
| Organization Legal Name | SCOTLAND MEMORIAL HOSPITAL, INC |
| Address |
24420 Marlboro St Wagram NC 28396-9600 |
| Phone Number | 9103693136 |
| Gender | M |
| Credential | MD |
| Medical School | MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1988 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 0648208504 |
| Number of Group Practice Members | 65 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340008 | SCOTLAND MEMORIAL HOSPITAL |
| 340115 | FIRSTHEALTH MOORE REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 957 Cheraw St, Bennettsville, SC 29512-2420 | 8434540245 | SCOTLAND MEMORIAL HOSPITAL, INC |
| 24420 Marlboro St, Wagram, NC 28396-9600 | 9103693136 | SCOTLAND MEMORIAL HOSPITAL, INC |
| Organization Legal Name | SCOTLAND MEMORIAL HOSPITAL, INC |
| Physicians | 64 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Terri Reno Weber | Physician Assistant | Scotland Memorial Hospital, Inc | 24420 Marlboro St, Wagram, NC 28396-9600 |
| Olufunsho D Adamolekun | Vascular Surgery | Scotland Memorial Hospital, Inc | 500 Lauchwood Dr, Laurinburg, NC 28352-5501 |
| Kimberly Mcgee Morgan | Nurse Practitioner | Scotland Memorial Hospital, Inc | 105 Mcalpine Ln, Laurinburg, NC 28352-4637 |
| Bernard Marion Stanfield | Urology | Scotland Memorial Hospital, Inc | 521 Lauchwood Dr, Laurinburg, NC 28352-5502 |
| Gyetri S Mitchell | Nurse Practitioner | Scotland Memorial Hospital, Inc | 1007 Cheraw St, Bennettsville, SC 29512-2422 |
| Chi Dai Chen | General Surgery | Scotland Memorial Hospital, Inc | 957 Cheraw St, Bennettsville, SC 29512-2420 |
| Husam Hussain Darwish | Orthopedic Surgery | Scotland Memorial Hospital, Inc | 500 Lauchwood Dr, Laurinburg, NC 28352-5501 |
| Stephen M. Bush | Physician Assistant | Scotland Memorial Hospital, Inc | 500 Lauchwood Dr, Laurinburg, NC 28352-5501 |
| Clinton K Atkinson | Vascular Surgery | Scotland Memorial Hospital, Inc | 500 Lauchwood Dr, Laurinburg, NC 28352-5501 |
| Laura B Lynch | Qualified Audiologist | Scotland Memorial Hospital, Inc | 500 Lauchwood Dr, Laurinburg, NC 28352-5501 |
| Street Address |
24420 MARLBORO ST |
| City | WAGRAM |
| State | NC |
| Zip | 28396-9600 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Terri Reno Weber | Physician Assistant | Scotland Memorial Hospital, Inc | 24420 Marlboro St, Wagram, NC 28396-9600 |
| Jennifer Lynn Graham | Physician Assistant | Scotland Memorial Hospital Inc | 24420 Marlboro St, Wagram, NC 28396-9600 |
| City | WAGRAM |
| Zip Code | 28396 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | WAGRAM + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Matthew Thomas Manzo.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.