Organization
SHERIDAN HEALTHCARE OF WEST VIRGINIA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN VAUGHN (OFFICER)
(954) 838-2371
Entity
Organization
Contact information
Practice address
20 HOSPITAL DR, LOGAN, WV 25601-3452
(304) 792-1101
Mailing address
PO BOX 744542, ATLANTA, GA 30374-4542
(954) 838-2371
(954) 851-1758
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810007125
—
WV
Enumeration date
11/22/2006
Last updated
05/19/2023
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