Individual
DR. JEAN MARIE MANCINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 MEDICAL PARK BLVD, STE 450W, BRISTOL, TN 37620-7430
(423) 968-3713
(423) 986-7352
Mailing address
PO BOX 9, KINGSPORT, TN 37662-0009
(423) 857-2066
(423) 857-2070
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
038379
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010105765
VA MEDICAID
—
05
—
3896190
—
TN
01
—
4091342
BCTN
—
Enumeration date
07/01/2005
Last updated
06/11/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us