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Organization

UPSHUR MEDICAL MANAGEMENT SERVICES

Active
Other names
St. Joseph's Physician Group
Organization subpart
No

Provider details

NPI number
Authorized official
TONY ATKINS (CEO)
(304) 473-2118
Entity
Organization

Contact information

Practice address
10 AMALIA DR, SUITE B-1, BUCKHANNON, WV 26201-2271
(304) 473-2200
(304) 473-2057
Mailing address
10 AMALIA DR, SUITE B-1, BUCKHANNON, WV 26201-2271
(304) 473-2200
(304) 473-2057

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0009185000
WV
Enumeration date
07/22/2006
Last updated
08/22/2020
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