Individual
DR. SALLY H SWISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
401 DIVISION ST, SUITE 302, SOUTH CHARLESTON, WV 25309-1455
(304) 767-7940
(304) 767-7945
Mailing address
401 DIVISION ST, SUITE 302, SOUTH CHARLESTON, WV 25309-1455
(304) 767-7940
(304) 767-7945
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
12350
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001706315
BLUE CROSS
WV
05
—
0090987000
—
WV
01
—
P00352206
RAILROAD MEDICARE
WV
Enumeration date
07/05/2006
Last updated
05/21/2008
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