Individual
DR. TELLY M. BARRETA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3200 MACCORKLE AVENUE SE, PATHOLOGY DEPARTMENT, CHARLESTON, WV 25304
(304) 388-5550
(304) 388-4352
Mailing address
3200 MACCORKLE AVE SE, PATHOLOGY DEPT, CHARLESTON, WV 25304
(304) 388-5550
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
17752
WV
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
17752
WV
Other
Enumeration date
04/25/2006
Last updated
11/23/2015
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