# ROAM WEST VIRGINIA PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558207233
- **Authorized official:** MS. DEBORAH ALLEN PAC (ADMINISTRATOR)
- **Authorized official phone:** (719) 565-8633

## Contact information

- **Practice address:** 2008 KANAWHA BLVD E, CHARLESTON, WV 25311-2204
- **Practice address phone:** (719) 565-8633
- **Mailing address:** 16352 BRIGADOON TRL, GULF SHORES, AL 36542-8249
- **Mailing address phone:** (719) 565-8633

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/27/2026
- **Last updated:** 10/07/2026