Willow Ridge Pllc
NPI #1629241880 in Lewisburg, West Virginia
Provider Information
- NPI Number
- 1629241880
- Entity Type
- Organization
- Organization Name
- Willow Ridge Pllc
- Primary Specialty
- Psychiatry & Neurology - Psychiatry
- Enumeration Date
- Apr 9, 2008
- Last Updated
- Jul 9, 2008
Practice Location
- Address
- 333 N JEFFERSON ST
- City
- Lewisburg
- State
- West Virginia
- ZIP Code
- 24901-1116
- Phone
- (304) 645-7503
Authorized Official
- Name
- RHONDA LYNETTE HAMM, DO
- Title
- OWNER/PHYSICIAN
- Phone
- (304) 645-7503
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatry & Neurology - Psychiatry — Psychiatry |
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