Individual
MR. JAMES EDWARD ELSWICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3200 MACCORKLE AVE SE, CHARLESTON, WV 25304-1227
(304) 388-4077
Mailing address
411 IONE RD, COMFORT, WV 25049-9511
(304) 837-3562
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
080071
WV
Other
Enumeration date
09/15/2008
Last updated
09/15/2008
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