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Organization
EAST MOUNTAIN HEALTH PHYSICIANS, INC.
Active
Organization
EAST MOUNTAIN HEALTH PHYSICIANS, INC.
Active
Other names
Valley Health Family Medical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE NEVADA JOHNSON (CREDENTIALING COORDINATOR)
(540) 536-0103
Entity
Organization
Contact information
Practice address
1008 TAVERN RD STE 201, MARTINSBURG, WV 25401-2859
(304) 264-4433
Mailing address
220 CAMPUS BLVD STE 200, WINCHESTER, VA 22601-2889
(540) 536-5100
(540) 536-0235
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/28/2017
Last updated
12/12/2018
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