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Organization
MANNING PEDIATRICS LLC
Active
Organization
MANNING PEDIATRICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHERYL A MANNING MD (OWNER)
(770) 786-0012
Entity
Organization
Contact information
Practice address
4106 MILL ST N.E., COVINGTION, GA 30014-2539
(770) 786-0012
(770) 786-9988
Mailing address
4106 MILL ST NE, COVINGTON, GA 30014-2539
(770) 786-0012
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
NULL
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
721616163A
—
GA
Enumeration date
10/03/2011
Last updated
10/03/2011
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