# DR. ANDREW ALAN TALKINGTON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1508969429
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 17497 | WV | Yes |

## Other

- **Enumeration date:** 09/06/2006
- **Last updated:** 12/02/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 001721760 | MOUNTAIN STATE BCBS SERVICE PROV. \# | WV |
| 05 | — | 0044979001 | — | WV |
| 01 | — | 1508969429 | MOUNTAIN STATE BCBS | WV |
| 01 | — | WV17497A | HEALTH PLAN PROVIDER NBR | WV |