Southern Wv Medical and Surgical Specialists Pllc

NPI #1497103386 in Lewisburg, West Virginia

Provider Information

NPI Number: 1497103386
Entity Type: Organization
Organization Name: Southern Wv Medical and Surgical Specialists Pllc
Primary Specialty: Otolaryngology
Enumeration Date: Jun 1, 2016
Last Updated: Jun 22, 2016

Practice Location

Address: 206 SKYLAR DR
City: Lewisburg
State: West Virginia
ZIP Code: 24901-9383
Phone: (681) 318-3540

Authorized Official

Name: JUSTIN WAYNE DOUGLAS, M.D.
Title: OWNER/PRESIDENT
Phone: (304) 929-6930

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology	207Y00000X	Primary

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