Organization
MOSES FAMILY MEDICINE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELIN MOSES MD (OWNER/MD)
(304) 781-3589
Entity
Organization
Contact information
Practice address
2959 3RD AVE, HUNTINGTON, WV 25702-1401
(304) 781-3589
Mailing address
2959 3RD AVE, HUNTINGTON, WV 25702-1401
(304) 781-3589
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
19364
WV
207Q00000X
Family Medicine Physician
Primary
19364
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001858663
BC/BS
WV
05
—
0055289000
—
WV
Enumeration date
08/29/2006
Last updated
03/04/2026
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