Organization
PSYCHIATRIC ASSOCIATES
Active
Organization
PSYCHIATRIC ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID FORREST COLVIN MD (PARTNER)
(304) 842-9084
Entity
Organization
Contact information
Practice address
1160 JOHNSON AVE, STE 105, BRIDGEPORT, WV 26330
(304) 842-9084
(304) 842-9085
Mailing address
1160 JOHNSON AVE, STE 105, BRIDGEPORT, WV 26330
(304) 842-9084
(304) 842-9085
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009741000
—
WV
Enumeration date
11/01/2006
Last updated
03/20/2008
Update your record
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