# FAMILY MEDICINE OF MARTINSBURG, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063883023
- **Authorized official:** DR. TRAVIS ALLEN EUGENE SCHILDT M.D. (OWNER, PRESIDENT)
- **Authorized official phone:** (304) 264-3660

## Contact information

- **Practice address:** 651 FOXCROFT AVE, SUITE 110, MARTINSBURG, WV 25401-5306
- **Practice address phone:** (304) 264-3660
- **Practice address fax:** (304) 264-3665
- **Mailing address:** 651 FOXCROFT AVE, SUITE 110, MARTINSBURG, WV 25401-5306
- **Mailing address phone:** (304) 264-3660
- **Mailing address fax:** (304) 264-3665

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 23075 | WV | Yes |

## Other

- **Enumeration date:** 10/15/2015
- **Last updated:** 03/04/2021