person
Dr. Shane Nelson Manning, DPM
Foot & Ankle Surgery Podiatrist in Atlanta, Georgia
NPI 1467447169

Shane Nelson Manning is a Foot & Ankle Surgery Podiatrist based in Atlanta, GA and is specialized in Foot & Ankle Surgery. Shane Nelson Manning practices in Atlanta, GA and has the professional credentials of DPM. The NPI Number for Shane Nelson Manning is 1467447169 and holds a License No. 07001087A (Georgia).

The current practice location address for Shane Nelson Manning is 20 Glenlake Pkwy, Atlanta, GA and can be reached out via phone at 620-662-6000 and via fax at 620-669-2394. You can also correspond with Shane Nelson Manning through the mailing address at 3495 PIEDMONT RD NE, ATLANTA, GA - 30305-1717 (mailing address contact number: 404-365-0966).

Location: 20 Glenlake Pkwy, Atlanta, GA, 30305-1717
person
Provider Profile Details
NPI Number
1467447169
Provider Name
Shane Nelson Manning
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
20 Glenlake Pkwy, Atlanta, GA, 30305-1717
Phone Number
620-662-6000
Fax Number
620-669-2394
Provider Enumeration Date
09/19/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2578974 05 OH
200952390 05 IN
institution
Provider Business Practice Location Address Details
Address
20 Glenlake Pkwy
City
State
Zip
30328-3473
Phone Number
620-662-6000
Fax Number
620-669-2394
person
Provider Business Mailing Address Details
Address
20 Glenlake Pkwy
City
State
Zip
30328-3473
Phone Number
620-662-6000
Fax Number
620-669-2394
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
07001087A (Indiana)
Definition
Definition to come...
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