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 is a Family Medicine Physician 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
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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