Individual
MICHAELA MANIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1267 HIGHWAY 54 W, FAYETTEVILLE, GA 30214-2114
(678) 829-1060
Mailing address
934 HYACINTH LN, PEACHTREE CITY, GA 30269-3955
(850) 264-9042
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12276
GA
Other
Enumeration date
05/06/2024
Last updated
07/04/2024
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