Individual
CHARISMA NICOLE MANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
720 WESTVIEW DR SW, ATLANTA, GA 30310-1458
(404) 752-1500
Mailing address
720 WESTVIEW DR SW, ATLANTA, GA 30310-1458
(404) 752-1500
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
078094
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/26/2013
Last updated
10/11/2018
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