Individual
DR. LETITIA ELAINE TIERNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10 COURTNEY DR, CHARLESTON, WV 25304-2699
(304) 344-2345
(304) 400-4645
Mailing address
10 COURTNEY DR, CHARLESTON, WV 25304-2699
(304) 344-2345
(304) 400-4645
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
23148
WV
208000000X
Pediatrics Physician
23148
WV
208M00000X
Hospitalist Physician
23148
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679792493
—
WV
Enumeration date
04/24/2007
Last updated
08/04/2022
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