Full Name | Psychconsultmd |
---|---|
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 206 Skylar Dr, Lewisburg, West Virginia |
Authorized Official Name and Position | Douglas Ray Eitel (PHYSICIAN) |
Authorized Official Contact | 3369784618 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Psychconsultmd 206 Skylar Dr Lewisburg WV 24901 Ph: (336) 978-4618 | Psychconsultmd 206 Skylar Dr Lewisburg WV 24901 Ph: (336) 978-4618 |
NPI Number | 1114003084 |
---|---|
Provider Enumeration Date | 10/31/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114003084 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 21057 (West Virginia) | Primary |
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