Individual
VICTORIA PAIGE MANIACI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
21 ORTHO LN, ATLANTA, GA 30329-2315
(404) 778-3350
Mailing address
21 ORTHO LN, ATLANTA, GA 30329-2315
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11216
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11216
GA PHYSICIAN ASSISTANT LICENSE NUMBER
GA
Enumeration date
08/23/2022
Last updated
03/16/2026
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