| Dr Suzanne Cahill Manley, MD | |
|
148 Clinic Ave, Carrollton, GA 30117 | |
| (770) 838-8640 | |
| (770) 838-8650 |
| Full Name | Dr Suzanne Cahill Manley |
|---|---|
| Gender | Female |
| Speciality | Pediatrics - Adolescent Medicine |
| Location | 148 Clinic Ave, Carrollton, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659362127 | NPI | - | NPPES |
| 000810125D | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 046167 (Georgia) | Secondary |
| 2080A0000X | Pediatrics - Adolescent Medicine | 046167 (Georgia) | Primary |
| Entity Name | Tanner Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396979787 PECOS PAC ID: 2769536143 Enrollment ID: O20090819000657 |
| Entity Name | St Francis Physician Practices Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326749417 PECOS PAC ID: 8729381033 Enrollment ID: O20160120002073 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Suzanne Cahill Manley, MD 148 Clinic Ave, Carrollton, GA 30117-4414 Ph: (770) 838-8640 | Dr Suzanne Cahill Manley, MD 148 Clinic Ave, Carrollton, GA 30117 Ph: (770) 838-8640 |
Emily Denney, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 706 Dixie St Ste 210, Carrollton, GA 30117 Phone: 770-812-8640 Fax: 770-838-8650 | |
Caitlin Mehalick Tierney, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 804 Dixie St, Carrollton, GA 30117 Phone: 770-834-0606 | |
Jack W Miller, M.D Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 100 Professional Pl, Ste 104, Carrollton, GA 30117 Phone: 770-830-7039 Fax: 770-830-7149 | |
Nyla Faye Cline, NURSE PRACTIONER Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 804 Dixie St, Carrollton, GA 30117 Phone: 770-834-0606 Fax: 770-834-1833 | |
Charles Edward Stevenson Jr., M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 804 Dixie St, Carrollton, GA 30117 Phone: 770-834-0606 Fax: 770-834-1833 | |
Jonathan M Goodin, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 804 Dixie St, Carrollton, GA 30117 Phone: 770-834-0606 Fax: 770-834-1833 | |
Sushma Sudhi, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 706 Dixie St Ste 210, Carrollton, GA 30117 Phone: 770-812-8640 Fax: 770-838-8650 |