Individual provider · Type 1 NPI

Carolina Marie Manceaux, PA-C

Physician Assistant · Valdosta, GA

NPI number 1124736319 Active

Practice location

2409 N Patterson St
Valdosta, GA 31602-2512

Call (229) 259-4369 Map

Mailing address

PO Box 27128
Salt Lake City, UT 84127-0128

Other practice locations

  • 9450 S 1300 E, Sandy, UT 84094-5555 · (801) 501-2160

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X11461 (GA)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Physician Assistant Primary 363A00000X14267404-1206 (UT)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

6 other providers at this address

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About NPI 1124736319

Carolina Marie Manceaux, PA-C's National Provider Identifier is 1124736319, issued on Nov 7, 2022. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Valdosta, GA. The record was last updated on May 14, 2026.