Organization
VERSACARE MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA E MCCARTY MS, MBA, MHA (OWNER/ADMINISTRATOR)
(304) 615-9925
Entity
Organization
Contact information
Practice address
1260A GREENBRIER ST, CHARLESTON, WV 25311-1002
(304) 915-2500
Mailing address
115 TROTTERS LN, CHARLESTON, WV 25312-6770
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
Other
Enumeration date
08/18/2021
Last updated
08/30/2021
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