Whalio Doctors

NPI 1093929424

Josalyn Marie Mann, DO

Practitioner Family Medicine Physician Bridgeport, WV

Practice location

Address
1511 Johnson Ave STE 104, Bridgeport, WV 26330-1016
Phone
(304) 848-0702
Fax
(304) 848-0705
Mailing address
686 South Pike St STE a, Shinnston, WV 26431-1043

Registered specialties (2)

Family Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 2239 (WV)
Family Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 58.001640 (OH)

Registry record

NPI
1093929424
Entity type
Individual
Sex (as registered)
Female
NPI issued
8 May 2007
Record last updated
5 Apr 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.