NPI 1164639472
Namay and Namay
Practice location
- Address
- 3411 Noyes Ave STE B, Charleston, WV 25304-1351
- Phone
- (304) 720-3206
- Fax
- (304) 720-3209
Authorised official
- Name
- Mark Allan Light
- Title
- Office Administrator
- Phone
- (304) 949-2556
Registered specialties
Specialist
Primary
Registry record
- NPI
- 1164639472
- Entity type
- Organization
- NPI issued
- 17 May 2007
- Record last updated
- 22 Aug 2020
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.