Individual
CORTNEY BALLENGEE MENCHINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 MEDICAL CENTER DR, MORGANTOWN, WV 26506
(304) 598-4800
Mailing address
1 MEDICAL CENTER DR, MORGANTOWN, WV 26506-1200
(304) 598-4800
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
75923
GA
2080P0206X
Pediatric Gastroenterology Physician
Primary
28139
WV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/23/2011
Last updated
07/23/2018
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