Individual
JEFFREY MICHAEL MANFREDONIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
16000 JOHNSTON MEMORIAL DR, ABINGDON, VA 24211-7664
(276) 258-1000
Mailing address
1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 37604-2192
(423) 302-6565
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0102205280
VA
208M00000X
Hospitalist Physician
Primary
0102205280
VA
Other
Enumeration date
05/13/2015
Last updated
11/30/2023
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