Individual
TIMOTHY DEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
31 TAYLOR ST, HARPERS FERRY, WV 25425-9519
(304) 535-6343
(304) 535-6618
Mailing address
PO BOX 780, MORGANTOWN, WV 26507-0780
(304) 293-7401
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
22940
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810012381
—
WV
01
—
CA7030
RAILROAD MEDICARE GROUP #
WV
01
—
P00623101
RAILROAD MEDICARE
WV
Enumeration date
06/27/2007
Last updated
12/09/2024
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