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Chandra Leeann Carothers, PA-C

Physician Assistant in Beckley, WV. Individual provider (NPI-1).

NPI number1497174841
StatusActive
Last updated in NPPESApr 14, 2014

Details

NPI
1497174841
Entity type
Individual (NPI-1)
Name
Chandra Leeann Carothers
Credential
PA-C
Sex
Female
Sole proprietor
No
Enumeration date
Apr 14, 2014
Last updated
Apr 14, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant1112704WVYes

Practice location

250 Stanaford Rd
Beckley, WV 25801-3140

Phone 304-254-2600

Mailing address

250 Stanaford Rd
Beckley, WV 25801-3140

Phone 304-254-2600

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