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Individual

ALYSSA GREGORY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
2211 3RD AVE, HUNTINGTON, WV 25703-1225
(304) 691-1880
Mailing address
31 SAFFRON CT, CULLODEN, WV 25510-7242
(304) 638-1693

Taxonomy

Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
2771
WV
363A00000X
Physician Assistant
Primary
2771
WV
363A00000X
Physician Assistant
50.008227RX
OH

Other

Enumeration date
01/12/2022
Last updated
10/03/2023
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