NPI Profile for APPALACHIANWELLNESS CLINIC INC in BECKLEY, WV.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction Medicine |
207QA0401X | 08 | Physician/Family Practice | |
Family Medicine |
207Q00000X | 08 | Physician/Family Practice | |
Medical |
363AM0700X | 97 | Physician Assistant |
| NPI # | 1427563238 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 12/04/2017 | |
| Last updated | 03/24/2023 - About 3 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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APPALACHIANWELLNESS CLINIC INC
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