KELLY J. MANAHAN

COLUMBUS, GA
NPI1538156187
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207VX0201X Obstetrics & Gynecology, Gynecologic Oncology
(Licence: GA  72318)
Additional Taxonomies207VX0201X Obstetrics & Gynecology, Gynecologic Oncology
(Licence: IN  01058411A)
Enumeration Date2005-09-29
Last Update Date2020-08-31
Business Address
KELLY J. MANAHAN MD
1831 5TH AVE
COLUMBUS, GA 31904-8915
Phone number: 706-320-8780
Mailing Address
KELLY J. MANAHAN MD
6920 POINTE INVERNESS WAY STE 200
FORT WAYNE, IN 46804-7934
Phone number: 260-479-3514