Organization
CHILDREN 1ST PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VALARIE WRIGHT MANLEY M.D. (PHYSICIAN)
(678) 817-1000
Entity
Organization
Contact information
Practice address
101 BECKETT LN, SUITE 502, FAYETTEVILLE, GA 30214-7155
(678) 817-1000
(678) 817-1001
Mailing address
101 BECKETT LN, SUITE 502, FAYETTEVILLE, GA 30214-7155
(678) 817-1000
(678) 817-1001
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00436994D
—
GA
Enumeration date
08/05/2007
Last updated
01/08/2008
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