# APPALACHIAN GASTROENTEROLOGY, PLLC

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

## Provider details

- **NPI number:** 1881895100
- **Authorized official:** DR. HUSAM MOHAMMAD NAZER M.D.,FACP,FACG (OWNER)
- **Authorized official phone:** (304) 253-0849

## Contact information

- **Practice address:** 429 CARRIAGE DR, BECKLEY, WV 25801-2805
- **Practice address phone:** (304) 253-0849
- **Practice address fax:** (304) 253-1573
- **Mailing address:** P.O. BOX 1189, BECKLEY, WV 25802
- **Mailing address phone:** (304) 253-0849
- **Mailing address fax:** (304) 253-1573

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | 13335 | WV | Yes |

## Other

- **Enumeration date:** 05/31/2007
- **Last updated:** 04/21/2011