Organization
STALLAMB P.L.L.C.
Active
Other names
Teays Pediatrics P.L.L.C.
Organization subpart
No
Provider details
NPI number
Authorized official
RITA K. HOPE (OFFICE MANAGER)
(304) 757-8803
Entity
Organization
Contact information
Practice address
303 GREAT TEAYS BLVD, SCOTT DEPOT, WV 25560
(304) 757-8803
(304) 757-6904
Mailing address
303 GREAT TEAYS BLVD, SCOTT DEPOT, WV 25560
(304) 757-8803
(304) 757-6904
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
—
Other
Enumeration date
10/11/2006
Last updated
08/22/2020
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