Individual
MARCUS DEWAYNE EPPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
505 CAPITOL ST, CHARLESTON, WV 25301-1220
(304) 722-8822
Mailing address
510 EWART AVE, APT. 91, BECKLEY, WV 25801-3444
(304) 993-8164
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
01247
WV
Other
Enumeration date
11/15/2006
Last updated
07/08/2007
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