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Organization
SHENANDOAH PREVENTIVE MEDICINE, INC.
Active
Organization
SHENANDOAH PREVENTIVE MEDICINE, INC.
Active
Other names
J.A. Burgess V, D.O.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN ALEXANDER BURGESS V D.O. (PRESIDENT)
(304) 263-3335
Entity
Organization
Contact information
Practice address
215 S LOUISIANA AVE, MARTINSBURG, WV 25401-2037
(304) 263-3335
(304) 267-5557
Mailing address
215 S LOUISIANA AVE, MARTINSBURG, WV 25401-2037
(304) 263-3335
(304) 267-5557
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
1000
WV
Other
Enumeration date
04/04/2007
Last updated
08/22/2020
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