Individual
PAUL RICHARD HEDGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
342B TABLE ROCK LANE, WHEELING, WV 26003
(304) 277-5261
(304) 232-7033
Mailing address
342B TABLE ROCK LANE, WHEELING, WV 26003
(304) 277-5261
(304) 232-7033
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
09808
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0075174000
—
WV
05
—
0798212
—
OH
01
—
55035705705
WV COMPENSATION
WV
01
—
5503570579J30
ANTHEM BCBS
—
01
—
9808C
HEALTH PLAN OF UPPER OH V
—
Enumeration date
08/09/2005
Last updated
07/08/2007
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