Organization
TONI GOODYKOONTZ, M.D., P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
M GAIL DAVIS (OFFICE MANAGER/PARTNER)
(304) 622-8511
Entity
Organization
Contact information
Practice address
1514 BUCKHANNON PIKE, NUTTER FORT, WV 26301-4410
(304) 622-8511
(304) 622-8542
Mailing address
1514 BUCKHANNON PIKE, NUTTER FORT, WV 26301-4410
(304) 622-8511
(304) 622-8542
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0115011000
—
WV
Enumeration date
10/24/2006
Last updated
08/22/2020
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