Individual
ANDREW C THYMIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1717 HARPER RD, 3RD FLOOR SUTIE E, BECKLEY, WV 25801-3373
(304) 254-3131
(304) 254-3037
Mailing address
1717 HARPER RD, THIRD FLOOR SUITE E, BECKLEY, WV 25801-3373
(304) 254-3131
(304) 254-3037
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
1729
WV
208VP0014X
Interventional Pain Medicine Physician
Primary
1729
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001722250
BCBS
—
01
—
319155
CARELINK
—
05
—
5600400000
—
WV
05
—
58067
—
WV
05
—
74593
—
WV
Enumeration date
10/02/2006
Last updated
10/19/2017
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