NPI 1497103386

Southern Wv Medical and Surgical Specialists PLLC

Organisation Otolaryngology Physician Lewisburg, WV

Practice location

Address: 206 Skylar Dr, Lewisburg, WV 24901-9383
Phone: (681) 318-3540
Fax: (877) 712-1319
Mailing address: PO Box 5482, Beckley, WV 25801-7506

Authorised official

Name: Justin Wayne Douglas
Title: Owner/President
Phone: (304) 929-6930

Registered specialties

Otolaryngology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Y00000X Licence 23770 (WV)

Other Otolaryngology providers in West Virginia →

Registry record

NPI: 1497103386
Entity type: Organization
NPI issued: 1 Jun 2016
Record last updated: 22 Jun 2016

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.