Individual
DEANNA RAE PAULEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
555 MAIN STREET, CHAPMANVILLE, WV 25508
(304) 688-9901
(304) 688-9904
Mailing address
PO BOX 1171, DANVILLE, WV 25053-1171
(304) 688-4100
(304) 688-4100
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
01208
WV
363AM0700X
Medical Physician Assistant
Primary
01208
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810024397
—
WV
Enumeration date
12/23/2005
Last updated
09/01/2016
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