# EASTERN PANHANDLE ANESTHESIA ASSOCIATES

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

## Provider details

- **NPI number:** 1902866882
- **Authorized official:** JACK F. SHAMBLIN III MD (PRESIDENT)
- **Authorized official phone:** (304) 264-8933

## Contact information

- **Practice address:** 2500 HOSPITAL ROAD, MARTINSBURG, WV 25401
- **Practice address phone:** (304) 264-8933
- **Practice address fax:** (304) 264-8846
- **Mailing address:** 109 MOUNT WOOD RD, WHEELING, WV 26003
- **Mailing address phone:** (304) 233-2455
- **Mailing address fax:** (304) 233-6073

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/24/2006
- **Last updated:** 01/14/2010