Individual
MATTHEW COLT LEGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3110 MACCORKLE AVE SE, CHARLESTON, WV 25304-1210
(304) 388-4600
(304) 388-4621
Mailing address
3110 MACCORKLE AVE SE, CHARLESTON, WV 25304-1210
(304) 388-4600
(304) 388-4621
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/07/2012
Last updated
12/07/2012
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