# PHILIP EDWARD MANLEY JR.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1033164827
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | 20331 | SC | Yes |

## Other

- **Enumeration date:** 05/23/2006
- **Last updated:** 08/21/2013

## 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 |