Individual
BRETT ALLEN MANTHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
407 E MAIN ST, ABINGDON, VA 24210-3407
(276) 628-4232
(276) 676-4552
Mailing address
PO BOX 2196, ABINGDON, VA 24212-2196
(276) 628-4232
(276) 676-4552
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0102201460
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010391873
—
VA
01
—
P00052646
RAILROAD MEDICARE
VA
Enumeration date
07/18/2005
Last updated
01/14/2008
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