Organization
APPALACHIAN MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ARIETTA WISEMAN (MEMBER)
(304) 345-8501
Entity
Organization
Contact information
Practice address
4702 MACCORKLE AVE SW, SOUTH CHARLESTON, WV 25309-1330
(304) 345-8501
(304) 345-8500
Mailing address
4702 MACCORKLE AVE SW, SOUTH CHARLESTON, WV 25309-1330
(304) 345-8501
(304) 345-8500
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/19/2018
Last updated
09/03/2024
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