Individual
SHERI KLINGENBERG MANOUGIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4370 GEORGETOWN SQ, ATLANTA, GA 30338-6205
(678) 514-2108
(678) 514-2104
Mailing address
4370 GEORGETOWN SQ, ATLANTA, GA 30338-6205
(678) 514-2108
(678) 514-2104
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
002636
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100001798A
—
GA
Enumeration date
07/30/2006
Last updated
05/14/2014
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