Individual
AMBER L HEDGECOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
250 STANAFORD RD STE 105, BECKLEY, WV 25801-3140
(304) 254-2619
(304) 254-2669
Mailing address
250 STANAFORD RD STE 105, BECKLEY, WV 25801-3140
(304) 254-2619
(304) 254-2669
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3500
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1144713264
—
WV
Enumeration date
06/13/2018
Last updated
11/17/2021
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