| Toni Goodykoontz, M.d., P.l.l.c. | |
|
1514 Buckhannon Pike Nutter Fort WV 26301-4410 | |
| (304) 622-8511 | |
| (304) 622-8542 |
| Full Name | Toni Goodykoontz, M.d., P.l.l.c. |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1514 Buckhannon Pike, Nutter Fort, West Virginia |
| Authorized Official Name and Position | M Gail Davis (OFFICE MANAGER/PARTNER) |
| Authorized Official Contact | 3046228511 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Toni Goodykoontz, M.d., P.l.l.c. 1514 Buckhannon Pike Nutter Fort WV 26301-4410 Ph: (304) 622-8511 | Toni Goodykoontz, M.d., P.l.l.c. 1514 Buckhannon Pike Nutter Fort WV 26301-4410 Ph: (304) 622-8511 |
| NPI Number | 1750465282 |
|---|---|
| Provider Enumeration Date | 10/24/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750465282 | NPI | - | NPPES |
| 0115011000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |