Individual
JAMES PAYDEN MICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
301 SCOTT AVE, MORGANTOWN, WV 26508-8804
(304) 296-1731
Mailing address
301 SCOTT AVE, MORGANTOWN, WV 26508-8804
(304) 296-1731
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
F597498
—
WV
Enumeration date
07/29/2022
Last updated
07/29/2022
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