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Contact Information

JOSIAH K LILLY III, MD MS
4001 VIRGINIA AVE SE
CHARLESTON, WV25304-1603
 Phone: 304-925-2922
 Fax: 304-926-8009
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

208VP0000X 72 Physician/Pain Management
Indicates primary specialty

NPI Profile & details for JOSIAH K LILLY III · (Male)

NPI Number 1376507566
Status Active
Credentials MD MS
Entity Individual
Enumeration date 04/14/2006
Last updated 10/24/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • WV License # 11322
  • WV Medicaid 0201994
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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