Individual
DR. TYSHAUN M JAMES-HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
250 STANAFORD RD, SUITE 105, BECKLEY, WV 25801-3140
(304) 254-2667
(304) 254-2732
Mailing address
PO BOX 9, HINTON, WV 25951-0009
(304) 466-2944
(304) 466-2943
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
21616
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000056944C
HUMANA
WV
01
—
001723603
MOUNTAIN STATE BLUE CROSS
WV
05
—
3810001300
—
WV
01
—
P00380544
RAILROAD MEDICARE PIN #
WV
Enumeration date
09/09/2005
Last updated
10/19/2007
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