Carolina Marie Manceaux, PA-C

NPI #1124736319 in Valdosta, Georgia

Provider Information

NPI Number: 1124736319
Entity Type: Individual
Name: Carolina Marie Manceaux, PA-C
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Nov 7, 2022
Last Updated: Mar 8, 2023

Practice Location

Address: 2409 N PATTERSON ST
City: Valdosta
State: Georgia
ZIP Code: 31602-2512
Phone: (229) 259-4369

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary
Student in an Organized Health Care Education/Training Program	390200000X

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