Individual
DR. RODRIGO M MANCHENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
450 NORTHSIDE CHEROKEE BLVD, CANTON, GA 30115-8015
(770) 224-1000
(770) 224-2451
Mailing address
PO BOX 2546, VIRGINIA BEACH, VA 23450-2546
(757) 340-3489
(757) 340-4278
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101251149
VA
207R00000X
Internal Medicine Physician
MT189804
PA
208M00000X
Hospitalist Physician
Primary
071387
GA
208M00000X
Hospitalist Physician
MD440345
PA
Other
Enumeration date
08/27/2007
Last updated
03/07/2018
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