Organization
PSYCHCONSULTMD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS RAY EITEL MD (PHYSICIAN)
(336) 978-4618
Entity
Organization
Contact information
Practice address
206 SKYLAR DR, LEWISBURG, WV 24901
(336) 978-4618
Mailing address
206 SKYLAR DR, LEWISBURG, WV 24901
(336) 978-4618
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
21057
WV
Other
Enumeration date
10/31/2006
Last updated
08/22/2020
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