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Individual

JOSHUA MORGAN CUSICK-LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3200 MACCORKLE AVE SE, FAMILY MEDICINE DEPARTMENT, CHARLESTON, WV 25304-1227
(304) 388-4600
Mailing address
3200 MACCORKLE AVE SE, FAMILY MEDICINE DEPARTMENT, CHARLESTON, WV 25304-1227
(304) 388-4600

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
24995
WV

Other

Enumeration date
06/01/2010
Last updated
01/12/2021
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