Organization
RELY C CARBONEL MD INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RELY C CARBONEL MD (OWNER)
(304) 239-2334
Entity
Organization
Contact information
Practice address
MAIN STREET, HOLDEN, WV 25625
(304) 239-2334
Mailing address
PO BOX Y2, HOLDEN, WV 25625-1828
(304) 239-2334
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
11/02/2006
Last updated
10/25/2007
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