Organization
TRI-STATE PHYSIATRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHELANA MARIE GIBBS-MCELVYQ MD (PRESIDENT)
(724) 923-4028
Entity
Organization
Contact information
Practice address
1160 VAN VOORHIS RD, MORGANTOWN, WV 26505-3437
(304) 598-1100
(304) 598-1103
Mailing address
1160 VAN VOORHIS RD, MORGANTOWN, WV 26505-3437
(304) 598-1100
(304) 598-1103
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
WV
Other
Enumeration date
07/17/2017
Last updated
07/21/2022
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