Individual
RONNIE EVERETT TALKINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 S EISENHOWER DR, BECKLEY, WV 25801-4929
(304) 719-5923
Mailing address
101 S EISENHOWER DR, BECKLEY, WV 25801-4929
(304) 719-5923
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PRSS
—
WV
Enumeration date
08/10/2022
Last updated
08/10/2022
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