# HENRY A MANNING

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

## Provider details

- **NPI number:** 1164416335
- **Gender:** Man
- **Credential:** PA C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 003255 | GA | Yes |
| 363AM0700X | Medical Physician Assistant | 003255 | GA | — |
| 363AS0400X | Surgical Physician Assistant | 003255 | GA | — |

## Other

- **Enumeration date:** 09/02/2005
- **Last updated:** 03/12/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 553969817C | — | GA |
| 01 | — | DC4061 | RAILROAD MEDICARE | GA |