Individual
DR. JOHN WALTER MANN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16000 JOHNSTON MEMORIAL DR STE 100, ABINGDON, VA 24211-7664
(276) 477-1443
(833) 576-2316
Mailing address
16000 JOHNSTON MEMORIAL DR STE 100, ABINGDON, VA 24211-7664
(276) 477-1443
(833) 576-2316
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
0101048448
VA
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
0101048448
VA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
0101048448
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009878000
MEDICAID OF WEST VIRGINIA
VA
01
—
1487631602
GATEWAY
VA
05
—
1487631602
—
VA
01
—
371194700
BLACK LUNG
VA
01
—
540506332115
TRICARE/CHAMPUS
VA
01
—
P080129534
RAILROAD MEDICARE
VA
Enumeration date
12/29/2005
Last updated
10/10/2025
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