Organization
MED SURG PHYSICIAN GROUP, INC.
Active
Parent organization
MED SURG PHYSICIAN GROUP, INC.
Other names
Elena Behavioral Health Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
MED SURG PHYSICIAN GROUP, INC.
Authorized official
OLU R SANGODEYI MD, CEO (PRESIDENT, PHYSICIAN)
(304) 253-3000
Entity
Organization
Contact information
Practice address
101 MARTIN DR, MOUNT HOPE, WV 25880-1509
(304) 253-3000
(304) 929-2038
Mailing address
379 STANAFORD RD, BECKLEY, WV 25801-3141
(304) 253-3000
(304) 929-2038
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/30/2021
Last updated
08/20/2021
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