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Individual
PHILIP EDWARD MANLEY JR.
Active
Individual
PHILIP EDWARD MANLEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
20331
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1416332
CIGNA
SC
05
—
203318
—
SC
01
—
370019021
RR MEDICARE
SC
01
—
576007863032
BCBS OF SC
SC
01
—
576007863103
BLUE CHOICE OF SC
SC
01
—
7172301
AETNA
SC
Enumeration date
05/23/2006
Last updated
08/21/2013
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