Organization
CARLTON L W HERALD DO PC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLTON W HERALD (OWNER)
(304) 831-2061
Entity
Organization
Contact information
Practice address
77 HOSPITAL DR, SUITE 100, LOGAN, WV 25601-3451
(304) 831-2061
(304) 831-2063
Mailing address
PO BOX 1411, LOGAN, WV 25601-1411
(304) 831-2061
(304) 831-2063
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
1984
WV
Other
Enumeration date
07/09/2006
Last updated
08/22/2020
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