Individual
LAURA FEASTER HYSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2900 1ST AVE, ROOM 1025, HUNTINGTON, WV 25702-1241
(304) 399-7484
(304) 399-7579
Mailing address
PO BOX 88, 200 POCAHONTAS TRAIL, WHITE SULPHUR SPRINGS, WV 24986-0088
(304) 536-5030
(304) 536-5031
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
22382
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2702070
—
OH
05
—
3810006920
—
WV
05
—
7100017420
—
KY
Enumeration date
08/31/2006
Last updated
02/03/2016
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