Individual
RELY C CARBONEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
ROUTE 119 OLD THEATRE BUILDING, HOLDEN, WV 25625
(304) 239-2334
(304) 239-2634
Mailing address
PO BOX DRAWYER Y-2, HOLDEN, WV 25625
(304) 239-2334
(304) 239-2634
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11515
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0055964000
—
WV
Enumeration date
11/03/2005
Last updated
03/18/2008
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