Provider Demographics
NPI:1952388977
Name:ABEL, MARCY JANICE (MD)
Entity Type:Individual
Prefix:DR
First Name:MARCY
Middle Name:JANICE
Last Name:ABEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 119
Mailing Address - Street 2:
Mailing Address - City:CHARLES TOWN
Mailing Address - State:WV
Mailing Address - Zip Code:25414-0119
Mailing Address - Country:US
Mailing Address - Phone:615-476-9018
Mailing Address - Fax:615-468-0322
Practice Address - Street 1:310 25TH AVE N STE 202
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-1593
Practice Address - Country:US
Practice Address - Phone:615-497-6953
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-12-30
Last Update Date:2022-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN388182088F0040X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2088F0040XAllopathic & Osteopathic PhysiciansUrologyFemale Pelvic Medicine and Reconstructive Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64085483Medicaid
TN3895889Medicaid
TN4087000OtherBLUE CROSS
TNP00156305OtherRR MEDICARE
KY64085483Medicaid
TN3895889Medicare ID - Type Unspecified