Individual
TYLOR JORDAN TABIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
252 RURAL ACRES DR, BECKLEY, WV 25801-3503
(304) 252-8555
Mailing address
252 RURAL ACRES DR, BECKLEY, WV 25801-3503
(304) 252-8555
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
ED1229
WV
Other
Enumeration date
07/03/2023
Last updated
07/03/2023
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