Individual
HAROLD EDWARD AYERS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2520 VALLEY DR, SUITE #012, PT PLEASANT, WV 25550-2031
(304) 675-6015
(304) 675-5893
Mailing address
PO BOX 236, PT PLEASANT, WV 25550-0236
(304) 675-1020
(304) 675-5893
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
WV15579
WV
2080A0000X
Pediatric Adolescent Medicine Physician
15579
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000470415
BCBS
WV
05
—
0105937000
—
WV
05
—
0710958
—
OH
01
—
550737600
COMMERCIAL INSURANCE
WV
Enumeration date
09/21/2006
Last updated
12/10/2009
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