Individual
DR. ANTHONY HAYWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
22347 NORTHWESTERN PIKE, ROMNEY, WV 26757-6343
(304) 822-3838
Mailing address
PO BOX 97, BAKER, WV 26801-0097
(304) 897-5915
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1482
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0046150000
—
WV
05
—
1376535351
—
WV
Enumeration date
08/17/2005
Last updated
10/30/2024
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