Individual
SOLOMON MAPETO MUTETWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 S GROVE ST STE 1, PETERSBURG, WV 26847-1805
(304) 257-2451
Mailing address
5645 STONE RD, CENTREVILLE, VA 20120-1618
(703) 266-2442
(703) 266-7159
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101245581
VA
207Q00000X
Family Medicine Physician
MT187984
PA
Other
Enumeration date
10/23/2007
Last updated
03/17/2021
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