MEDICARE: MAURICE C. RHODES MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	11960	WV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1649370388
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAURICE C. RHODES MD

Provider Business Mailing Address
First Line	:	PO BOX 763
Second Line	:
City	:	MORGANTOWN
State	:	WV
Zip	:	26507-0763
Country	:	US
Telephone Number	:	800-541-4009
Fax Number	:

Provider Business Practice Location Address
First Line	:	2673 DAVISSON RUN RD STE 101
Second Line	:
City	:	CLARKSBURG
State	:	WV
Zip	:	26301-6838
Country	:	US
Telephone Number	:	304-623-1234
Fax Number	:	304-623-1602

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/23/2006
Last Update Date	:	07/21/2022

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Directions to “ MAURICE C. RHODES MD” Practice Location

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