NPI 1891779047 · live from the CMS NPI Registry
Mark Wayne Allen, MD
Family Medicine in Charleston, WV. National Provider Identifier 1891779047, active.
NPI record
| NPI | 1891779047 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 333 Laidley St, Hmg Hospitalist Office, Charleston, WV 25301 |
| Practice phone | 304-347-6116 |
| Enumerated | December 1, 2005 |
| Last updated | April 19, 2010 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics | 208000000X | 19909 (WV) |
| Family Medicine primary | 207Q00000X | 19909 (WV) |
| Emergency Medicine | 207P00000X | 19909 (WV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.