Individual
MR. ROY CLIFFORD MASSEY IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PRSS
Contact information
Practice address
4202 MALDEN DR, MALDEN, WV 25306-6442
(681) 208-3750
(304) 926-1260
Mailing address
PO BOX 8413, SOUTH CHARLESTON, WV 25303-0413
(304) 200-3472
(304) 926-1290
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
12/14/2022
Last updated
12/14/2022
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