Individual
DR. SUZANNE CAHILL MANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
148 CLINIC AVE, CARROLLTON, GA 30117
(770) 838-8640
(770) 838-8650
Mailing address
148 CLINIC AVE, CARROLLTON, GA 30117-4414
(770) 838-8640
(770) 838-8650
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
046167
GA
208M00000X
Hospitalist Physician
046167
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000810125D
—
GA
Enumeration date
11/02/2005
Last updated
07/03/2018
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