| Tisha James, RD, LD | |
|
122 12th St, Princeton, WV 24740-2312 | |
| (304) 487-7639 | |
| Not Available |
| Full Name | Tisha James |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 122 12th St, Princeton, West Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437992781 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 374 (West Virginia) | Primary |
| Provider Name | Princeton Community Hospital Assn. Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1093917643 PECOS PAC ID: 3678482221 Enrollment ID: O20031211000436 |
| Mailing Address | Practice Location Address |
|---|---|
| Tisha James, RD, LD 122 12th St, Princeton, WV 24740-2312 Ph: (304) 487-7639 | Tisha James, RD, LD 122 12th St, Princeton, WV 24740-2312 Ph: (304) 487-7639 |
Mrs. Mary H. Burks, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 150 Courthouse Rd Ste 301-b, Princeton, WV 24740 Phone: 304-425-0162 Fax: 304-425-0163 |
Melissa Wilbur, Dietitian Medicare: Medicare Enrolled Practice Location: 122 12th St, Princeton, WV 24740 Phone: 304-487-7000 |
Clarence David Tawney, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 109 Morrison Dr, Princeton, WV 24740 Phone: 304-487-7639 Fax: 304-487-7693 |