Organization
MOUNTAIN STATE ENT & FACIAL PLASTIC SURGERY, INC
Active
Parent organization
MOUNTAIN STATE ENT & FACIAL PLASTIC SURGERY, INC
Other names
Healing Springs Medical Spa
Organization subpart
Yes
Provider details
NPI number
Legal business name
MOUNTAIN STATE ENT & FACIAL PLASTIC SURGERY, INC
Authorized official
ALBERT JAMES PAINE JR. MD (OWNER; PRESIDENT)
(304) 255-2341
Entity
Organization
Contact information
Practice address
78 BROOKSHIRE, BECKLEY, WV 25801
(304) 255-0330
Mailing address
78 BROOKSHIRE, BECKLEY, WV 25801
(304) 255-0330
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
02/15/2016
Last updated
03/26/2020
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