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Individual

SOMMER BEANE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
600 TRACY WAY STE 2, CHARLESTON, WV 25311-1262
(304) 346-8877
Mailing address
501 MORRIS ST, CHARLESTON, WV 25301-1326
(304) 647-6006

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
363AM0700X
Medical Physician Assistant
Primary

Other

Enumeration date
03/28/2022
Last updated
08/30/2023
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