| Doctor Name: | JEAN M PANNETON |
| NPI Number: | 1003887449 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 0101236977 |
| Business Practice Address: | 397 Little Neck Rd 3300 South Bldg Suite 100 Virginia Beach, VA - 234525765 |
| Business Phone Number: | 7574705570 |
| Business Fax Number: | 7572273377 |
| Mailing Address: | 397 Little Neck Rd, 3300 South Bldg Suite 100 VIRGINIA BEACH |
| State: | VA |
| Postal Code: | 234525765 |
| Phone Number: | 7574705570 |
| Fax Number: | 7572273377 |
| NPI Enumeration Date: | 02/01/2006 |
| NPI Last Update Date: | 11/13/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2086S0129X |
| License Number: | 0101236977 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Surgery |
| Taxonomy Specialization: | Vascular Surgery |
| Taxonomy Definition: | A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |