Individual
PHILIP EDWARD MANLEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
890 S PLEASANTBURG DR, GREENVILLE, SC 29607-2455
(864) 271-1450
(864) 271-3914
Mailing address
1 INDEPENDENCE PT, SUITE 212, GREENVILLE, SC 29615-4545
(864) 797-6044
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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