Organization
NEUROLOGICAL ASSOCIATES, INC.
Active
Other names
West Virginia OrthoNeuro
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIANA WILLIAMSON CPA (ADMINISTRATOR)
(304) 344-3551
Entity
Organization
Contact information
Practice address
415 MORRIS ST, SUITE 400, CHARLESTON, WV 25301-1842
(304) 344-3551
(304) 342-6927
Mailing address
415 MORRIS ST, SUITE 400, CHARLESTON, WV 25301-1842
(304) 344-3551
(304) 342-6927
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
00307
WV
207X00000X
Orthopaedic Surgery Physician
00307
WV
207XS0117X
Orthopaedic Surgery of the Spine Physician
00307
WV
213ES0103X
Foot & Ankle Surgery Podiatrist
00307
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008668-000
—
WV
Enumeration date
04/26/2006
Last updated
06/10/2019
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