Individual
MORGAN S MANDEVILLE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
105 RICHESON DR, LYNCHBURG, VA 24501-2911
(434) 385-7776
(434) 385-5846
Mailing address
105 RICHESON DR, LYNCHBURG, VA 24501-2911
(434) 385-7776
(434) 385-5846
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101056712
VA
Other
Enumeration date
04/28/2006
Last updated
07/09/2007
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