Mountain State Ent & Facial Plastic Surgery, INC
NPI #1982604997 in Beckley, West Virginia
Provider Information
- NPI Number
- 1982604997
- Entity Type
- Organization
- Organization Name
- Mountain State Ent & Facial Plastic Surgery, INC
- Primary Specialty
- Clinic/Center - Medical Specialty
- Enumeration Date
- Aug 1, 2005
- Last Updated
- Mar 29, 2024
Practice Location
- Address
- 78 BROOKSHIRE LN
- City
- Beckley
- State
- West Virginia
- ZIP Code
- 25801-6765
- Phone
- (304) 255-2341
Authorized Official
- Name
- ALBERT JAMES PAINE JR., MD
- Title
- OWNER; PRESIDENT
- Phone
- (304) 255-2341
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Medical Specialty — Medical Specialty |
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