Organization
TRI STATE NEUROSCIENCE CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERMA ABBOTT (OFFICE MANAGER)
(304) 525-6825
Entity
Organization
Contact information
Practice address
2860 3RD AVE, SUITE 10, HUNTINGTON, WV 25702
(304) 525-6825
(304) 525-0300
Mailing address
PO BOX 3107, 2860 3RD AVE SUITE 10, HUNTINGTON, WV 25702
(304) 525-6825
(304) 525-0300
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0883745
MEDICAID
OH
Enumeration date
10/05/2006
Last updated
08/22/2020
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