| 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 |