Organization
GREAT TEAYS PODIATRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SETRH STINEHOUR DPM (OWNER)
(304) 201-1240
Entity
Organization
Contact information
Practice address
3701 TEAYS VALLEY RD STE A, HURRICANE, WV 25526-9645
(304) 201-1240
(606) 324-0059
Mailing address
3701 TEAYS VALLEY RD STE A, HURRICANE, WV 25526-9645
(304) 201-1240
(606) 324-0059
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
00332
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2508058
—
OH
05
—
3810000605
—
WY
Enumeration date
06/26/2008
Last updated
06/26/2008
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