Organization
GE BARIATRIC & ANTI-AGING SOLUTIONS, LLC
Active
Organization
GE BARIATRIC & ANTI-AGING SOLUTIONS, LLC
Active
Other names
InShapeWV
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES R ELLIS ANP-BC (NURSE PRACTITIONER/OWNER)
(681) 238-5258
Entity
Organization
Contact information
Practice address
956 N EISENHOWER DR, BECKLEY, WV 25801-3114
(681) 238-5258
(681) 238-5700
Mailing address
956 N EISENHOWER DR, BECKLEY, WV 25801-3114
(681) 238-5258
(681) 238-5700
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
50904
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1336604750
NPI-DANA FROBLE
—
01
—
1346599313
NPI-PAULA BRAMMER
—
01
—
1447237458
NPI-DR. ROGER EDWARDS
—
01
—
1679917553
NPI-MERCEDES WEIKLE
—
Enumeration date
04/23/2013
Last updated
05/15/2019
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