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5317 Cherry Lawn Rd Huntington WV 25705-2032 | |
| (304) 302-2078 | |
| (304) 302-7260 |
| Full Name | |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 5317 Cherry Lawn Rd, Huntington, West Virginia |
| Authorized Official Name and Position | Darryl Stanford (VICE PRESIDENT, REVENUE CYCLE) |
| Authorized Official Contact | 9198688482 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 11247 Richmond VA 23230-1247 Ph: () - | 5317 Cherry Lawn Rd Huntington WV 25705-2032 Ph: (304) 302-2078 |
| NPI Number | 1104348556 |
|---|---|
| Provider Enumeration Date | 07/07/2017 |
| Last Update Date | 08/30/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104348556 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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