Individual
DR. JEANNE MANIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
501 FAULCONER DR, 2A, CHARLOTTESVILLE, VA 22903-4980
(434) 296-8984
Mailing address
501 FAULCONER DR, 2A, CHARLOTTESVILLE, VA 22903-4980
(434) 296-8984
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101050085
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
068216
ANTHEM
VA
01
—
086071
SENTARA
VA
Enumeration date
02/28/2007
Last updated
07/08/2007
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