Individual
DR. KIMBERLY DYAN MANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
49 JESSE HILL JR DR SE, SUITE 451, ATLANTA, GA 30303-3049
(404) 778-1619
(404) 778-1602
Mailing address
49 JESSE HILL JR DR SE, SUITE 451, ATLANTA, GA 30303-3049
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
049980
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
049980
GEORGIA LICENSE
GA
Enumeration date
09/13/2006
Last updated
03/07/2023
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