Search › West Virginia › 183500000X
Savannah Jack
NPI 1063143543 · on the registry since 2022
Practice
- Address
- 400 Enterprise Circle
Martinsburg, WV 25405 - Phone
- (304) 263-4185
- Fax
- (304) 264-5953
- Organisation at this address
- Weis Markets, Inc.
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- WV
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-06-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in West Virginia