Organization
NEUROLOGICAL ASSOCIATES, INC.
Active
Other names
West Virginia OrthoNeuro
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA K WILLIAMSON CPA (PRACTICE ADMINISTRATOR)
(304) 344-3551
Entity
Organization
Contact information
Practice address
100 TRACY WAY, CHARLESTON, WV 25311-1257
(304) 343-4583
(304) 343-9207
Mailing address
100 TRACY WAY, CHARLESTON, WV 25311-1257
(304) 343-4583
(304) 343-9207
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
WV
213ES0103X
Foot & Ankle Surgery Podiatrist
—
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008668000
—
WV
Enumeration date
03/19/2018
Last updated
03/19/2018
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