Individual
TIMOTHY MESSINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10291 TEAYS VALLEY RD, SCOTT DEPOT, WV 25560-7703
(304) 555-5555
Mailing address
10291 TEAYS VALLEY RD, SCOTT DEPOT, WV 25560-7703
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/06/2022
Last updated
07/06/2022
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