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Individual

MR. BOBBY LEE MARCUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
C-FNP

Contact information

Practice address
1340 HAL GREER BOULEVARD, ATTN: TAMMIE SILVA, HUNTINGTON, WV 25701-3800
(304) 526-2200
(304) 526-2139
Mailing address
1340 HAL GREER BOULEVARD, ATTN: TAMMIE SILVA, HUNTINGTON, WV 25701-3800
(304) 526-2200
(304) 526-2139

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
47550
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3046877
OH
05
7100115990
KY
05
7103206000
WV
01
P00836672
RR MEDICARE
WV
Enumeration date
01/18/2007
Last updated
11/18/2021
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