Search › Georgia › 213ES0103X
Shane Manning, D.P.M
NPI 1467447169 · on the registry since 2005
Practice
- Address
- 20 Glenlake Pkwy
Kaiser Permanente Glenlake
Atlanta, GA 30328 - Phone
- (620) 662-6000
- Fax
- (620) 669-2394
- Organisation at this address
- Kaiser Foundation Health Plan Of Georgia, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 117
Registry record
- Primary taxonomy
- 213ES0103X
213ES0103X
- Also registered as
- 213ES0103X
213ES0103X - Licence states on file
- IN, OH, GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-01-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia