Individual
DR. ERIC SHANE HOPKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD RVT FACS
Contact information
Practice address
201 12TH ST EXTENSION, PRINCETON, WV 24740-0201
(304) 425-1852
(304) 431-3756
Mailing address
118 12TH STREET EXT, PRINCETON, WV 24740-2352
(304) 431-5168
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
0101237879
VA
208600000X
Surgery Physician
Primary
20329
WV
2086S0129X
Vascular Surgery Physician
20329
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010005779
—
VA
05
—
2002286000
—
WV
Enumeration date
08/31/2006
Last updated
09/25/2018
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