Organization
VICTORIA D MANNING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PHYLLIS ROLAND RN (FACILITY ADMIN)
(706) 868-3330
Entity
Organization
Contact information
Practice address
6420 POLLARDS POND RD, APPLING, GA 30802-3726
(706) 868-3330
(706) 868-3336
Mailing address
6420 POLLARDS POND RD, APPLING, GA 30802-3726
(706) 868-3330
(706) 868-3336
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
RN052799
GA
Other
Enumeration date
10/16/2006
Last updated
08/22/2020
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