Organization
GYNECOLOGIC ASSOCIATES OF PARKERSBURG, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL C SHOCKLEY MD (PRESIDENT)
(304) 424-2035
Entity
Organization
Contact information
Practice address
705 GARFIELD AVE, SUITE 400, PARKERSBURG, WV 26101-5444
(304) 424-2035
(304) 424-2024
Mailing address
705 GARFIELD AVE, SUITE 400, PARKERSBURG, WV 26101-5444
(304) 485-4700
(304) 485-4466
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810007580
—
WV
Enumeration date
02/24/2014
Last updated
02/24/2014
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