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Organization

WORK CHOICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. TODD L METCALF QRP (CHIEF EXECUTIVE OFFICER)
(304) 343-6016
Entity
Organization

Contact information

Practice address
315 WILDWOOD DR, CHARLESTON, WV 25302-3136
(304) 343-6016
(304) 345-7411
Mailing address
315 WILDWOOD DR, CHARLESTON, WV 25302-3136
(304) 343-6016
(304) 345-7411

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
034354
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1029-8295
WV STATE TAX COMMISSIONER
WV
Enumeration date
08/16/2005
Last updated
12/31/2012
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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