Individual
CASIANNE MANNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5435 FIVE FORKS TRICKUM RD, STONE MOUNTAIN, GA 30087-3045
(470) 681-9400
Mailing address
5435 FIVE FORKS TRICKUM RD, STONE MOUNTAIN, GA 30087-3045
(470) 681-9400
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
110573
GA
Other
Enumeration date
04/07/2021
Last updated
01/02/2026
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