Individual
MS. KEYONNA MANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
5401 FAIRINGTON RD, LITHONIA, GA 30038-5113
(404) 719-6140
Mailing address
5401 FAIRINGTON RD, LITHONIA, GA 30038-5113
(404) 719-6140
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
30076349
GA
Other
Enumeration date
04/24/2023
Last updated
04/24/2023
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