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NPI Verification

National Provider Identifier: 1780973792

Ma Theresa Concepcion Bautista, MD

Individual Provider

Credentials

Primary Specialty

Internal Medicine, Critical Care Medicine

Code: 207RC0200X

Practice Address

501 MORRIS ST

STE 357

CHARLESTON, WV 253011326

Phone: 304-388-3574

NPI Enumeration Date

March 30, 2011

NPI Number

1780973792

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry