Individual
KRISTINA DAWN MANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1000 MEDICAL CENTER DR, HARDEEVILLE, SC 29927-3446
(843) 784-8000
Mailing address
PO BOX 23321, NEW YORK, NY 10087-3321
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3942
SC
363A00000X
Physician Assistant
PA2408
KY
363A00000X
Physician Assistant
TC753
KY
Other
Enumeration date
09/06/2018
Last updated
10/05/2022
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