Individual
NICHOLAS MAINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1 MEDICAL CENTER DRIVE, ROOM 4411, MORGANTOWN, WV 26506
(304) 293-1224
(304) 293-1216
Mailing address
PO BOX 9214, 1 MEDICAL CENTER DR, ROOM 4411, MORGANTOWN, WV 26506-9214
(304) 293-1224
(304) 293-1216
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
3060
WV
208000000X
Pediatrics Physician
3060
WV
208M00000X
Hospitalist Physician
3060
WV
Other
Enumeration date
03/27/2014
Last updated
04/15/2022
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