Individual provider · Type 1 NPI

Manya Pala

Student in an Organized Health Care Education/Training Program · Riverdale, GA

NPI number 1114774700 Active · reactivated Jan 16, 2025

Practice location

11 Upper Riverdale Rd
Riverdale, GA 30274

Call (770) 991-8570 Map

Mailing address

11 Upper Riverdale Road, Riverdale, Ga 30274, Southern Regional Medical Center
Riverdale, GA 30274

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

12 other providers at this address

Other student in an organized health care education/training program providers in Riverdale

See all in Riverdale →

About NPI 1114774700

Manya Pala's National Provider Identifier is 1114774700, issued on May 2, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Riverdale, GA. The record was last updated on Jan 16, 2025.