NPI 1073022067
Comprehensive Occ Med Physicals Acad&surveillancesolutionsllc
Practice location
- Address
- 2206 22nd St, Nitro, WV 25143-1729
- Phone
- (681) 217-7172
- Fax
- (681) 217-7106
Authorised official
- Name
- Anita L Callicoat
- Title
- Owner & Ceo
- Phone
- (681) 217-7172
Registered specialties
Occupational Medicine Physician
Primary
Registry record
- NPI
- 1073022067
- Entity type
- Organization
- NPI issued
- 22 Sep 2017
- Record last updated
- 11 Nov 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.