Advanced Specialties, P LLC
NPI #1861801078 in Beckley, West Virginia
Provider Information
- NPI Number
- 1861801078
- Entity Type
- Organization
- Organization Name
- Advanced Specialties, P LLC
- Primary Specialty
- Urology
- Enumeration Date
- Aug 13, 2014
- Last Updated
- Sep 19, 2014
Practice Location
- Address
- 1717 HARPER RD
- Address 2
- 3RD FLOOR, SUITE A
- City
- Beckley
- State
- West Virginia
- ZIP Code
- 25801-3373
- Phone
- (304) 461-3879
Authorized Official
- Name
- LYNNETTA FAITH PAYNE, D.O.
- Title
- OWNER
- Phone
- (304) 461-3879
Specialties & Taxonomy Codes
| Specialty |
|---|
| Urology |
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