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Organization

COMMUNITY HEALTH ASSOCIATION

Active
Other names
Jackson General Hospital Anesthesia Department
Organization subpart
No

Provider details

NPI number
Authorized official
BRENDA GAIL GREENE (MEDICAL STAFF COORDINATOR)
(304) 373-1507
Entity
Organization

Contact information

Practice address
122 PINNELL ST, RIPLEY, WV 25271-9101
(304) 373-1286
Mailing address
109 MOUNT WOOD RD, WHEELING, WV 26003-2632
(304) 233-2455

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary

Other

Enumeration date
08/22/2018
Last updated
08/22/2018
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