Toni Goodykoontz, M.d., P.l.l.c. | |
1514 Buckhannon Pike Nutter Fort WV 26301-4410 | |
(304) 622-8511 | |
(304) 622-8542 |
Full Name | Toni Goodykoontz, M.d., P.l.l.c. |
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Speciality | Psychiatry & Neurology - Psychiatry |
Location | 1514 Buckhannon Pike, Nutter Fort, West Virginia |
Authorized Official Name and Position | M Gail Davis (OFFICE MANAGER/PARTNER) |
Authorized Official Contact | 3046228511 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Toni Goodykoontz, M.d., P.l.l.c. 1514 Buckhannon Pike Nutter Fort WV 26301-4410 Ph: (304) 622-8511 | Toni Goodykoontz, M.d., P.l.l.c. 1514 Buckhannon Pike Nutter Fort WV 26301-4410 Ph: (304) 622-8511 |
NPI Number | 1750465282 |
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Provider Enumeration Date | 10/24/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750465282 | NPI | - | NPPES |
0115011000 | Medicaid | WV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |