# CARL STEPHEN HIGH MD

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- **Entity:** Organization
- **Status:** Active
- **Other names:** c. s. high md
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114107133
- **Authorized official:** MRS. APRIL M BODKIN (OFFICE MANAGER)
- **Authorized official phone:** (304) 636-9242

## Contact information

- **Practice address:** 909 GORMAN AVE, ELKINS, WV 26241-4109
- **Practice address phone:** (304) 636-9242
- **Practice address fax:** (304) 636-8152
- **Mailing address:** PO BOX 390, 909 GORMAN AVE., ELKINS, WV 26241-0390
- **Mailing address phone:** (304) 636-9242
- **Mailing address fax:** (304) 636-8152

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 13007 | WV | Yes |

## Other

- **Enumeration date:** 11/07/2007
- **Last updated:** 03/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0056511001 | — | WV |
| 01 | — | 31894 | STATE LICENSE | — |