Individual
WARD JACKSON PAINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1526 MILEGROUND RD, MORGANTOWN, WV 26505-3745
(304) 777-4044
Mailing address
327 ROTARY STREET, MORGANTOWN, WV 26505
(304) 599-7512
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
20635
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1841021000
—
WV
Enumeration date
05/13/2006
Last updated
06/23/2023
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