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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

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Foot & Ankle Surgery · BRANDYWINE, WV

Registration Details

NPI Number
1649974064
Provider Type
Individual
Gender
Male
NPI Issued
Mar 29, 2023 (3.064291199827 yrs)
Last Updated
Mar 29, 2023

Practice Information

Address
24 CHARLENA DR
BRANDYWINE, WV, 268028042
Browse WV providers · Browse ZIP 26802
Phone
3042495681
Primary Specialty
Foot & Ankle Surgery
3747P1801X

Other Foot & Ankle Surgery Providers in BRANDYWINE, WV

Name Credential NPI
SHERRY LOUISE HELMICK 1952913451
ELEANOR ROSE SIMMONS 1417550401
JARELL SOWELL 1538733167
NICHOLAS EYE 1780250100
PATRICIA SIMMONS 1730755950
STEPHANIE DAVIS 1497427942
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.