Organization
APPALACHIAN MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ARIETTA WISEMAN (MEMBER)
(304) 345-8501
Entity
Organization
Contact information
Practice address
369 GEORGE KOSTAS DR STE 1, LOGAN, WV 25601-3493
(304) 345-8501
(304) 345-8500
Mailing address
1025 MAIN ST, MILTON, WV 25541-1215
(304) 389-1246
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/04/2020
Last updated
05/01/2025
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