| Valley Health Family Medicine - Tavern Road | |
|
1000 Tavern Rd Ste 100 Martinsburg WV 25401-2853 | |
| (304) 267-9355 | |
| (304) 267-9358 |
| Full Name | Valley Health Family Medicine - Tavern Road |
|---|---|
| Speciality | Family Medicine |
| Location | 1000 Tavern Rd Ste 100, Martinsburg, West Virginia |
| Authorized Official Name and Position | Renee Nevada Johnson (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 5405360103 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Valley Health Family Medicine - Tavern Road 220 Campus Blvd Suite 200 Winchester VA 22601 Ph: (540) 536-5100 | Valley Health Family Medicine - Tavern Road 1000 Tavern Rd Ste 100 Martinsburg WV 25401-2853 Ph: (304) 267-9355 |
| NPI Number | 1932621919 |
|---|---|
| Provider Enumeration Date | 07/12/2017 |
| Last Update Date | 10/28/2020 |
| Certification Date | 10/14/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932621919 | NPI | - | NPPES |
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