Etn MD INC.
Internal Medicine in Beckley, WV. Organization (NPI-2).
NPI number1427633445
StatusActive
Last updated in NPPESMar 11, 2021
Details
- NPI
- 1427633445
- Entity type
- Organization (NPI-2)
- Legal business name
- Etn MD INC.
- Organization subpart
- No
- Enumeration date
- Mar 11, 2021
- Certification date
- Mar 11, 2021
- Last updated
- Mar 11, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
Practice location
2401 S Kanawha St Ste 100Beckley, WV 25801-6967
Phone 202-294-4942
Mailing address
105 Robert WayDaniels, WV 25832-9051
Phone 202-294-4942
Authorized official
Elizabeth T Nelson
President
2022944942
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