Organization
ST. MARY'S MEDICAL MANAGEMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK A MORGAN (COO)
(304) 528-4600
Entity
Organization
Contact information
Practice address
2828 1ST AVE STE 400, HUNTINGTON, WV 25702-1236
(304) 525-6905
(304) 525-0747
Mailing address
3075 US ROUTE 60, HUNTINGTON, WV 25705-8859
(304) 528-4600
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0106X
Orthopaedic Hand Surgery Physician
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
12/28/2021
Last updated
05/16/2025
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