Individual
DONOVAN LOGAN MABE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
98 15TH ST NW STE 207A, NORTON, VA 24273-1600
(276) 439-1490
(276) 439-1495
Mailing address
1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 37604-2192
(423) 952-2111
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101257198
VA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
0101257198
VA
207RP1001X
Pulmonary Disease Physician
Primary
0101257198
VA
Other
Enumeration date
06/12/2012
Last updated
12/29/2025
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