MEDICARE: CHRISTINA MICHELLE MANCHIN-NEWLON PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	437	WV

General Provider Information

NPI Number	:	1386800126
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINA MICHELLE MANCHIN-NEWLON PA

Provider Business Mailing Address
First Line	:	181 MIDDLETOWN CIR
Second Line	:
City	:	FAIRMONT
State	:	WV
Zip	:	26554-2015
Country	:	US
Telephone Number	:	304-367-1970
Fax Number	:	304-367-1980

Provider Business Practice Location Address
First Line	:	181 MIDDLETOWN CIR
Second Line	:
City	:	FAIRMONT
State	:	WV
Zip	:	26554-2015
Country	:	US
Telephone Number	:	304-367-1970
Fax Number	:	304-367-1980

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/31/2008
Last Update Date	:	12/09/2025

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