Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Diana M Mancuso MD PA

Organization Family Medicine Physician · NPI 1366692246

Diana M Mancuso MD PA provides Family Medicine Physician services in Dothan, Alabama. Licensed in Alabama. Registered with an NPI since 2008.

Licensed in
AL
In the registry since
2008
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4300 W Main St Ste 16
Dothan, AL 36305-1054 Not confirmed with CMS for 17 years — call before visiting
Phone: (334) 793-4120
Fax: (334) 615-8443
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 4436 (AL)

Record details

NPI number1366692246
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Diana Mancuso — President · (334) 793-4120
NPI enumeratedSeptember 26, 2008
Last updated in NPPESMarch 9, 2009
Mailing address4300 W Main St, Suite 16, Dothan, AL 36305-1054

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