Individual
HOLLY PAIGE SOUTHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1 MEDICAL CENTER DR, MORGANTOWN, WV 26506-1200
(304) 598-4000
Mailing address
601 45TH ST SE, CHARLESTON, WV 25304-2523
(304) 946-7271
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
05/13/2024
Last updated
05/13/2024
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