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Individual

FRIDAY G. SIMPSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2501 3RD AVE, HUNTINGTON, WV 25703-1614
(304) 522-0252
(304) 522-1020
Mailing address
2501 3RD AVE, HUNTINGTON, WV 25703-1614
(304) 522-0252
(304) 522-1020

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
17066
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001707330
MT STATE BC
WV
05
0053702000
WV
01
080112748
RR MEDICARE
WV
05
0972836
OH
Enumeration date
05/04/2007
Last updated
04/17/2024
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