JEFFREY MICHAEL MANFREDONIA

BLUE RIDGE MEDICAL MANAGEMENT CORPORATION

Dr JEFFREY MICHAEL MANFREDONIA is a male medical professional, specializing in Internal Medicine. He graduated in 2015 from Arizona College Of Osteopathic Medicine Mid Western University.

Contact

BLUE RIDGE MEDICAL MANAGEMENT CORPORATION

16000 JOHNSTON MEMORIAL DR
4TH
ABINGDON
VA
242117664

Tel: 2762584050

JEFFREY MICHAEL MANFREDONIA Information

Npi 1487032157
Pac Id 7315290202
Professional Enrollment Id I20181023000943
Last Name MANFREDONIA
First Name JEFFREY
Middle Name MICHAEL
Suffix
Gender M
Credential
Medical School Name ARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY
Graduation Year 2015
Primary Specialty INTERNAL MEDICINE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Group Practice Pac Id 9739099441
Number Of Group Practice Members 340
Line 1 Street Address 16000 JOHNSTON MEMORIAL DR
Line 2 Street Address 4TH
Marker Of Address Line 2 Suppression
City ABINGDON
State VA
Zip Code 242117664
Phone Number 2762584050
Hospital Affiliation Ccn 1 490053
Hospital Affiliation Lbn 1 JOHNSTON MEMORIAL HOSPITAL
Hospital Affiliation Ccn 2 490002
Hospital Affiliation Lbn 2 RUSSELL COUNTY MEDICAL CENTER
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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