Organization
MOUNTAINEER PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER M MILLER (ADMINISTRATOR)
(681) 207-3653
Entity
Organization
Contact information
Practice address
100 NEW HOPE ROAD, PRINCETON, WV 24740
(304) 207-6531
Mailing address
310 GEORGE ST, BECKLEY, WV 25801-2653
(681) 207-3652
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
04/06/2021
Last updated
04/13/2021
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