Individual
ANNA ANKRUM ANTOLINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1710 HARPER RD, BECKLEY, WV 25801-3357
(304) 256-4100
Mailing address
1431 CENTERPOINT BLVD, STE 100, KNOXVILLE, TN 37932-1984
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/10/2012
Last updated
11/02/2016
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