Individual
DR. S WILLIS TRAMMELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1201 WASHINGTON STREET E, SUITE 103, CHARLESTON, WV 25301
(304) 388-7270
(304) 388-7280
Mailing address
3100 MACCORKLE AVE SE, SUITE 504, CHARLESTON, WV 25304-1223
(304) 347-1290
(304) 347-1397
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
11508
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0127907000
—
WV
Enumeration date
10/05/2006
Last updated
10/08/2013
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