Individual
CHARLES L GILLISPIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
410 S SPRING ST, HARRISVILLE, WV 26362-1347
(304) 266-7335
Mailing address
410 S SPRING ST, HARRISVILLE, WV 26362-1347
(304) 266-7335
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
WV
Other
Enumeration date
04/05/2025
Last updated
04/05/2025
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