| Organization Name: | BERNARD MANATU PC |
| NPI Number: | 1124359419 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BERNARD MANATU (OWNER--PROVIDER) |
| Mailing Address: | 320 Cloverleaf Sq Ste. D3 Big Stone Gap |
| State: | VA US |
| Postal Code: | 242192752 |
| Phone Number: | 2765241785 |
| Fax Number: | 2765241787 |
| NPI Enumeration Date: | 01/26/2010 |
| NPI Last Update Date: | 07/15/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2080A0000X |
| License Number: | 0101046823 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Pediatrics |
| Taxonomy Specialization: | Adolescent Medicine |
| Taxonomy Definition: | A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |