Individual
JUSTIN DAVID GREATHOUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1708 18TH ST, PARKERSBURG, WV 26101-3645
(304) 588-1718
Mailing address
1708 18TH ST, PARKERSBURG, WV 26101-3645
(304) 588-1718
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
09/28/2023
Last updated
09/28/2023
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