G. Mark Moreland M.D.
Organization Active NPI Family Medicine Physician · Nitro, WV
NPI 1154592582 · NPPES record last updated Mar 18, 2008
Key facts
- NPI
- 1154592582
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- G. MARK MORELAND M.D.
- Practice address
- 2206 22ND St
Nitro, WV 25143-1729 - Phone
- (304) 755-1571
- Fax
- (304) 755-3091
- NPI assigned
- Mar 13, 2008
- Organization subpart
- No
Authorized official
- Name
- Dr. Gregory Mark Moreland, M.D.
- Title
- Physician
- Phone
- (304) 755-1571
Practitioners 1
National Provider Directory
Locations
2206 22nd St
Nitro, WV 25143
Phone (304) 755-1571
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
2206 22ND St
Nitro, WV 25143-1729
Mailing address
2206 22ND St
Nitro, WV 25143-1729
Phone (304) 755-1571
Other providers in Nitro, WV
- Kiara Forrest
- Delea Foster
- Fruth Pharamcy Inc
- Fruth Pharmacy Inc
- Lori Fuller
- Arianna Garrett
- Generations R.C. Inc.
- Franci B Geras
- Angela R Gibson
- Bethany Gibson
All providers in Nitro, WV · Family Medicine Physician in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 18, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.