Organization
TRI STATE NEUROLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CONNIE Y CHRISTY (OFFICE MANAGER)
(304) 525-2495
Entity
Organization
Contact information
Practice address
2860 THIRD AVE, SUITE 20, HUNTINGTON, WV 25702
(304) 525-2495
(304) 525-0764
Mailing address
2860 THIRD AVE, SUITE 20, HUNTINGTON, WV 25702
(304) 525-2495
(304) 525-0764
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04000115000
—
WV
Enumeration date
11/02/2006
Last updated
08/22/2020
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