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Individual

DR. HEATHER L, RATLIFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
289 DAWKINS DR, LEWISBURG, WV 24901-9674
(304) 793-0005
(540) 283-4470
Mailing address
176 MEDICAL CENTER DR, RAINELLE, WV 25962-1064
(304) 438-6188
(304) 438-6188

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2127
WV
207RN0300X
Nephrology Physician
009847
AZ
207RN0300X
Nephrology Physician
Primary
2127
WV
207RN0300X
Nephrology Physician
30391
MS
207RN0300X
Nephrology Physician
3708
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
162742
AZ
05
200000094
MS
01
2122486
HIGHMARK BLUE CROSS BLUE SHIELD
WV
05
3810016079
WV
01
9054416
AETNA
WV
Enumeration date
05/01/2007
Last updated
07/01/2025
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