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Individual

DR. CHARLES MANLY III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
303 PARKWAY DR NE, ATLANTA, GA 30312-1212
(404) 265-4585
Mailing address
1514 VERNON RD, LAGRANGE, GA 30240-4131
(706) 812-2369

Taxonomy

Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
86326
GA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/04/2017
Last updated
10/01/2020
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