Individual provider · NPI-1
Dr. Miranda Lynn Albaugh, MD
Family Medicine · Martinsburg, WV
NPI number1447484803
StatusActive
Last updated in NPPESMay 1, 2022
Details
- NPI
- 1447484803
- Entity type
- Individual (NPI-1)
- Name
- Dr. Miranda Lynn Albaugh
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 13, 2009
- Certification date
- May 1, 2022
- Last updated
- May 1, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 24467 | WV | Yes |
| 207Q00000X | Family Medicine | D0075481 | MD |
Practice location
1355 Edwin Miller Blvd Ste AMartinsburg, WV 25404-3703
Phone 304-263-6753 · Fax 304-263-8278
Mailing address
1355 Edwin Miller Blvd Suite AMartinsburg, WV 25404
Phone 304-263-6753 · Fax 304-263-8278
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