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Individual

DR. CONNIE PERKINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
1322 MAPLEWOOD AVE STE A, RONCEVERTE, WV 24970-8016
(304) 647-1161
(304) 647-3006
Mailing address
1320 MAPLEWOOD AVE, RONCEVERTE, WV 24970-8016

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
1710
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
035
MTST BCBS
WV
01
114262
SOUTHERN HEALTH
WV
01
119357
ANTHEM BCBS
WV
01
160046203
RAILROAD MEDICARE
WV
01
273677
MAMSI
WV
01
5472643
AETNA
WV
05
6200073000
WV
01
649678001
CIGNA
WV
Enumeration date
07/17/2006
Last updated
11/16/2023
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