Jeannie Healthcare Incorporation
NPI #1063731107 in Charleston, West Virginia
Provider Information
- NPI Number
- 1063731107
- Entity Type
- Organization
- Organization Name
- Jeannie Healthcare Incorporation
- Primary Specialty
- Exclusive Provider Organization
- Enumeration Date
- May 28, 2010
- Last Updated
- May 28, 2010
Practice Location
- Address
- 1406 MADISON ST
- City
- Charleston
- State
- West Virginia
- ZIP Code
- 25312-2417
- Phone
- (304) 345-2014
Authorized Official
- Name
- JEANNIE LATICIA STEWART
- Title
- CEO/PRESIDENT
- Phone
- (304) 345-2014
Specialties & Taxonomy Codes
| Specialty |
|---|
| Exclusive Provider Organization |
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