Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | 26487 | WV |
NPI | 1003250515 |
---|---|
Provider Name | Dr. James B Mersing |
First Address | Morgantown, WV 26505-1142 |
Second Address | Morgantown, WV 26505 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2013 |
Last Update Date | 13/01/2021 |