Individual
RUTH A FULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
483 COURT ST, ELIZABETH, WV 26143-1109
(304) 275-3301
(304) 275-4798
Mailing address
PO BOX 609, ELIZABETH, WV 26143-0609
(304) 275-3301
(304) 275-4798
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
750
WV
Other
Enumeration date
06/17/2005
Last updated
04/02/2020
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