Provider Demographics
NPI:1659575389
Name:YEDNOCK, JOEL BERNARD I (MD)
Entity Type:Individual
Prefix:DR
First Name:JOEL
Middle Name:BERNARD
Last Name:YEDNOCK
Suffix:I
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 897
Mailing Address - Street 2:
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26507-0897
Mailing Address - Country:US
Mailing Address - Phone:304-293-1959
Mailing Address - Fax:304-598-4871
Practice Address - Street 1:1 MEDICAL CENTER DRIVE
Practice Address - Street 2:PHYSICIAN OFFICE CENTER
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26506
Practice Address - Country:US
Practice Address - Phone:304-598-4850
Practice Address - Fax:304-598-4871
Is Sole Proprietor?:No
Enumeration Date:2007-06-14
Last Update Date:2022-04-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WV23031207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine