| Carlton L W Herald Do Pc Inc | |
|
77 Hospital Dr Suite 100 Logan WV 25601-3451 | |
| (304) 831-2061 | |
| (304) 831-2063 |
| Full Name | Carlton L W Herald Do Pc Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 77 Hospital Dr, Logan, West Virginia |
| Authorized Official Name and Position | Carlton W Herald (OWNER) |
| Authorized Official Contact | 3048312061 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carlton L W Herald Do Pc Inc Po Box 1411 Logan WV 25601-1411 Ph: (304) 831-2061 | Carlton L W Herald Do Pc Inc 77 Hospital Dr Suite 100 Logan WV 25601-3451 Ph: (304) 831-2061 |
| NPI Number | 1013940196 |
|---|---|
| Provider Enumeration Date | 07/09/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013940196 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 1984 (West Virginia) | Primary |
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