Provider Demographics
NPI:1124114269
Name:BATTLE, EMILY H (M D)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:H
Last Name:BATTLE
Suffix:
Gender:F
Credentials:M D
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:D
Other - Last Name:HAMRICK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:4607 MACCORKLE AVE SW STE 406
Mailing Address - Street 2:
Mailing Address - City:SOUTH CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25309-1364
Mailing Address - Country:US
Mailing Address - Phone:304-766-4342
Mailing Address - Fax:304-766-3541
Practice Address - Street 1:4607 MACCORKLE AVE SW STE 406
Practice Address - Street 2:
Practice Address - City:SOUTH CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25309-1364
Practice Address - Country:US
Practice Address - Phone:304-766-4342
Practice Address - Fax:304-766-3541
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2020-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV17894207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV3810024049OtherGROUP MEDICAID
WV3810003017OtherKVGA GROUP
WV6000163000Medicaid
WVB441OtherGROUP MEDICARE
WVB441OtherGROUP MEDICARE
WV6000163000Medicaid
WVWV7341B441Medicare PIN