Individual
CHARLES MANVILLE SAVILLA III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 BEECH ST, ELEANOR, WV 25070-1391
(304) 932-8776
Mailing address
PO BOX 1207, ELEANOR, WV 25070-1207
(304) 932-8776
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
11/01/2021
Last updated
11/01/2021
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