| Tri-state Private Practice Pllc | |
|
2547 3rd Ave Huntington WV 25703-1642 | |
| (304) 638-9128 | |
| Not Available |
| Full Name | Tri-state Private Practice Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2547 3rd Ave, Huntington, West Virginia |
| Authorized Official Name and Position | Skyler Smith (OWNER) |
| Authorized Official Contact | 3046389128 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tri-state Private Practice Pllc 2547 3rd Ave Huntington WV 25703-1642 Ph: () - | Tri-state Private Practice Pllc 2547 3rd Ave Huntington WV 25703-1642 Ph: (304) 638-9128 |
| NPI Number | 1043660855 |
|---|---|
| Provider Enumeration Date | 06/13/2016 |
| Last Update Date | 06/13/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043660855 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 26179 (West Virginia) | Primary |
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