Individual
PETER J MANNEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
320 HOSPITAL DR, MARTINSVILLE, VA 24112-1900
(276) 666-7200
Mailing address
320 HOSPITAL DR, MARTINSVILLE, VA 24112-1900
(276) 666-7200
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
TC730
KY
363A00000X
Physician Assistant
0010-12280
NC
363A00000X
Physician Assistant
PA2413
KY
363A00000X
Physician Assistant
Primary
VA0110006420
VA
Other
Enumeration date
08/27/2018
Last updated
07/26/2022
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