| Doctor Name: | MR. RALPH EMERSON AMICK |
| NPI Number: | 1093774903 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA-C |
| License Number: | |
| Business Practice Address: | 200 Veterans Ave Beckley, WV - 258016444 |
| Business Phone Number: | 3042552121 |
| Business Fax Number: | 3042565159 |
| Mailing Address: | 3685 Grandview Rd, BEAVER |
| State: | WV |
| Postal Code: | 258139291 |
| Phone Number: | 3042552121 |
| Fax Number: | 3042565159 |
| NPI Enumeration Date: | 03/20/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |