Family Medicine
DIANA M MANCUSO MD PA
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1366692246 · enumerated 2008-09-26 · record updated 2009-03-09. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: Dr. DIANA MANCUSO M.D., president · (334) 793-4120
Addresses and phones
- Mailing address 4300 W MAIN ST, SUITE 16, DOTHAN, AL, 36305-1054 (334) 793-4120 Fax (334) 615-8443 Google Maps Apple Maps OpenStreetMap
- Practice location 4300 W MAIN ST, SUITE 16, DOTHAN, AL, 36305-1054 (334) 793-4120 Fax (334) 615-8443 Google Maps Apple Maps OpenStreetMap
Specialties
- Family Medicine 207Q00000X · Primary · License 4436 AL
In this directory
Locations and evidence
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Practice location
DOTHAN, AL, 363051054
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.