Organization
MANCHIN CLINIC OF BRIDGEPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN MANCHIN III (OWNER)
(304) 367-9170
Entity
Organization
Contact information
Practice address
409 W MAIN ST, BRIDGEPORT, WV 26330-1752
(304) 367-9170
Mailing address
409 W MAIN ST, BRIDGEPORT, WV 26330-1752
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/03/2015
Last updated
09/15/2025
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