| Organization Name: | PANHANDLE MEDICINE OF INWOOD, PLLC |
| NPI Number: | 1518058049 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOHN COLLETT VELTMAN (OWNER) |
| Mailing Address: | 365 Middleway Pike Inwood |
| State: | WV US |
| Postal Code: | 254281845 |
| Phone Number: | 3042297630 |
| Fax Number: | 3042297689 |
| NPI Enumeration Date: | 09/28/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 54825 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WV |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |