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NPI Code Detail

MEDICARE: HANNAH ADORA MARCUM

MEDICARE: HANNAH ADORA MARCUM
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
1390200000XStudent in an Organized Health Care Education/Training ProgramIN0010520WV

General Provider Information

NPI Number : 1790518207
Entity Type Code : Individual
Provider Name (Legal Business Name) : HANNAH ADORA MARCUM
Provider Business Mailing Address
First Line : 183 TOWNSHIP ROAD 519
Second Line :
City : PROCTORVILLE
State : OH
Zip : 45669-7853
Country : US
Telephone Number : 304-972-9716
Fax Number :
Provider Business Practice Location Address
First Line : 1 JOHN MARSHALL DR
Second Line :
City : HUNTINGTON
State : WV
Zip : 25755-0003
Country : US
Telephone Number : 304-696-7302
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/21/2024
Last Update Date : 08/21/2024

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Directions to “ HANNAH ADORA MARCUM ” Practice Location

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