Individual
EMILY MANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
771 OLD NORCROSS ROAD, SUITE 260, LAURENCEVILLE, GA 30046-4981
(770) 962-5040
(770) 962-5056
Mailing address
771 OLD NORCROSS ROAD, SUITE 260, LAURENCEVILLE, GA 30046-4981
(770) 962-5040
(770) 962-5056
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
005279
GA
Other
Enumeration date
03/24/2010
Last updated
03/27/2012
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