A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
General Practice |
208D00000X | 99 | Physician/Undefined Physician type[6] | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
Neurology |
2084N0400X | 13 | Physician/Neurology | |
Prosthetic/Orthotic Supplier |
335E00000X | 51 | Medical Supply Company with Orthotist |
| NPI # | 1215375415 |
| LBN Legal business name | ADVANCED PHYSICAL MEDICINE OF WEST VIRGINIA INC |
| Authorized official | KRISTYN BILLINGS - (CREDENTIALING) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 06/10/2013 |
| Last updated | 02/17/2020 - About 6 years ago |
| Identifiers | n/a |
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ADVANCED PHYSICAL MEDICINE OF WEST VIRGINIA INC
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| RADINE A GIBSON 1 STADIUM DRIVE MORGANTOWN, WV |
| JENNA M MARTINO, CFNP 1 MEDICAL CENTER DRIVE MORGANTOWN, WV |
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