Individual
PEGGY EAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
900 VIRGINIA ST E STE 400, CHARLESTON, WV 25301-2835
(681) 313-4759
Mailing address
19 LYNN LN, SCOTT DEPOT, WV 25560-9531
(304) 389-7879
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
74763
WV
Other
Enumeration date
02/28/2025
Last updated
02/28/2025
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