Individual
NATHANIEL EALY III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8 ASHWOOD DR, VIENNA, WV 26105-3310
(740) 350-7503
Mailing address
8 ASHWOOD DR, VIENNA, WV 26105-3310
(740) 350-7503
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
08/21/2023
Last updated
08/21/2023
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