Provider Demographics
NPI:1447589379
Name:MANER, DONALD EARL SR (PA-C)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:EARL
Last Name:MANER
Suffix:SR
Gender:M
Credentials:PA-C
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Mailing Address - Street 1:1465 LANEY WALKER BLVD
Mailing Address - Street 2:AF-1040, PAVILLION II
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30912-0002
Mailing Address - Country:US
Mailing Address - Phone:706-721-3448
Mailing Address - Fax:706-721-7468
Practice Address - Street 1:EC3326 LANEY WALKER BLVD
Practice Address - Street 2:MEDICAL COLLEGE OF GEORGIA
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30912
Practice Address - Country:US
Practice Address - Phone:706-721-4425
Practice Address - Fax:706-721-3990
Is Sole Proprietor?:No
Enumeration Date:2009-12-24
Last Update Date:2013-03-08
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Provider Licenses
StateLicense IDTaxonomies
GA003632363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
GARPH011404OtherPHARMACIST LISC.