Individual
DR. GARY CREMEANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 MEADOW POINTE, BARBOURSVILLE, WV 25504-9209
(304) 399-2990
Mailing address
1340 HAL GREER BLVD, ATTN: TAMMIE SILVA, HUNTINGTON, WV 25701-3800
(304) 526-2053
(304) 526-2008
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
19210
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1807508000
MEDICAID
WV
01
—
2182846
MEDICAID
OH
01
—
64009202
MEDICAID
KY
01
—
P00073470
MEDICARE-RR PROVIDER NUMBER
WV
Enumeration date
03/27/2006
Last updated
11/24/2021
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