| |
415 Morris St Suite 100 Charleston WV 25301-1842 | |
(304) 388-6620 | |
(304) 388-6629 |
Full Name | |
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Speciality | Psychiatry & Neurology - Neurology |
Location | 415 Morris St, Charleston, West Virginia |
Authorized Official Name and Position | Jeffrey H. Goode (PRESIDENT) |
Authorized Official Contact | 3043887782 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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415 Morris St Suite 304 Charleston WV 25301-1842 Ph: (304) 388-7782 | 415 Morris St Suite 100 Charleston WV 25301-1842 Ph: (304) 388-6620 |
NPI Number | 1144521907 |
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Provider Enumeration Date | 11/10/2010 |
Last Update Date | 11/10/2010 |
Identifier | Type | State | Issuer |
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1144521907 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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