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Individual

DR. DONALD EARL MANER SR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
EC3326 LANEY WALKER BLVD, MEDICAL COLLEGE OF GEORGIA, AUGUSTA, GA 30912
(706) 721-4425
(706) 721-3990
Mailing address
1465 LANEY WALKER BLVD, AF-1040, PAVILLION II, AUGUSTA, GA 30912-0002
(706) 721-3448
(706) 721-7468

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
003632
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RPH011404
PHARMACIST LISC.
GA
Enumeration date
12/24/2009
Last updated
03/08/2013
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