Individual provider · NPI-1

Dr. Garrick Hartley Anderson, MD

Emergency Medicine · Morgantown, WV

NPI number1427555648
StatusActive
Last updated in NPPESApr 5, 2022

Details

NPI
1427555648
Entity type
Individual (NPI-1)
Name
Dr. Garrick Hartley Anderson
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Apr 13, 2018
Certification date
Apr 5, 2022
Last updated
Apr 5, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207P00000X Emergency Medicine30142WVYes

Practice location

1 Medical Center Dr
Morgantown, WV 26506-1200

Phone 304-293-2436

Mailing address

Po Box 9419, 1 Medical Center Drive
Morgantown, WV 26506

Phone 243-630-4293

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