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Individual

CAISIE ADCOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
113 PLEASANT VALLEY RD, GIVEN, WV 25245-8067
(304) 531-5471
Mailing address
113 PLEASANT VALLEY RD, GIVEN, WV 25245-8067
(304) 531-5471

Taxonomy

Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
4
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
45764787987
WV
Enumeration date
03/06/2019
Last updated
06/11/2019
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