Organization
GREENE SKIN AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY WHITE (CREDENTIALING SPECIALIST)
(304) 688-7027
Entity
Organization
Contact information
Practice address
40 SHAE AVE STE A, CHAPMANVILLE, WV 25508-9805
(304) 310-2261
(304) 310-2262
Mailing address
PO BOX 445, DAVIN, WV 25617-0445
(304) 310-2261
(304) 310-2262
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/25/2023
Last updated
01/02/2024
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