Provider Demographics
NPI:1689871295
Name:MANETTA, KILEY ELIZABETH (DO)
Entity Type:Individual
Prefix:DR
First Name:KILEY
Middle Name:ELIZABETH
Last Name:MANETTA
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Gender:F
Credentials:DO
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Mailing Address - Street 1:5780 PEACHTREE DUNWOODY ROAD SUITE 300
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30342
Mailing Address - Country:US
Mailing Address - Phone:404-303-8035
Mailing Address - Fax:404-303-1325
Practice Address - Street 1:11975 MORRIS ROAD SUITE 300
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30005-3427
Practice Address - Country:US
Practice Address - Phone:770-521-2295
Practice Address - Fax:770-255-0333
Is Sole Proprietor?:No
Enumeration Date:2007-06-27
Last Update Date:2019-10-14
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Provider Licenses
StateLicense IDTaxonomies
GA82190207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology