Individual
LISELI WHITLY JAMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
120 CAMPUS DR, MARTINSBURG, WV 25404-7552
(681) 247-1250
Mailing address
220 CAMPUS BLVD STE 100, WINCHESTER, VA 22601-2896
(540) 536-5100
(540) 536-0235
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
30570
WV
Other
Enumeration date
07/06/2017
Last updated
09/09/2021
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