Sidney Alan Humphrey, PA-C
NPI #1659349405 in Charleston, West Virginia
Provider Information
- NPI Number
- 1659349405
- Entity Type
- Individual
- Name
- Sidney Alan Humphrey, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA-C
- Enumeration Date
- Mar 9, 2006
- Last Updated
- Jun 2, 2016
Practice Location
- Address
- 5430 MACCORKLE AVE SE
- City
- Charleston
- State
- West Virginia
- ZIP Code
- 25304-2224
- Phone
- (304) 925-3627
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
| Physician Assistant - Medical — Medical |
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