Individual
JEFF PRIDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
511 MORRIS ST, CHARLESTON, WV 25301-1326
(304) 341-0511
Mailing address
402 ARROWHEAD DR, HURRICANE, WV 25526-9112
(304) 341-1725
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
15311
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005355002
—
WV
05
—
0114835000
—
WV
05
—
3810012081
—
WV
Enumeration date
07/28/2006
Last updated
08/29/2024
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