Individual
CHERYL A MANNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4106 MILL ST NE, COVINGTON, GA 30014-2539
(770) 786-0012
(770) 786-9988
Mailing address
4106 MILL ST NE, COVINGTON, GA 30014-2539
(770) 786-0012
(770) 786-9988
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
048273
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000860879D
—
GA
Enumeration date
05/12/2006
Last updated
05/09/2011
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