Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carolina Marie Manceaux, PA-C

Individual provider Physician Assistant · NPI 1124736319

Carolina Marie Manceaux, PA-C is a Physician Assistant in Valdosta, Georgia. Works from 2 locations. Licensed in Georgia and Utah.

Licensed in
GA, UT
In the registry since
2022
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2409 N Patterson St
Valdosta, GA 31602-2512
Phone: (229) 259-4369
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 14267404-1206 (UT)
Physician Assistant Taxonomy 363A00000X · Licence 11461 (GA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1124736319
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 7, 2022
Last updated in NPPESMay 14, 2026
Certification dateMay 14, 2026

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