Organization
HEISKELL KING BURNS & TALLMAN SURGICAL ASSOCIATES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES ANDREW HEISKELL MD (PRESIDENT)
(304) 598-2200
Entity
Organization
Contact information
Practice address
600 SUNCREST TOWNE CENTRE, SUITE 310, MORGANTOWN, WV 26505-1872
(304) 598-2200
(304) 599-2674
Mailing address
600 SUNCREST TOWNE CENTRE, SUITE 310, MORGANTOWN, WV 26505-1872
(304) 598-2200
(304) 599-2674
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000865700
—
WV
Enumeration date
10/21/2006
Last updated
04/29/2014
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