Doctor Name: | MS. SALLYE A PACE |
NPI Number: | 1558583450 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 3810008043 |
Business Practice Address: | 2900 First Avenue Huntington, WV - 25702 |
Business Phone Number: | 3047366126 |
Business Fax Number: | 3047361531 |
Mailing Address: | P.o. Box 515, BARBOURSVILLE |
State: | WV |
Postal Code: | 25504 |
Phone Number: | 3047366126 |
Fax Number: | 3047361531 |
NPI Enumeration Date: | 05/02/2007 |
NPI Last Update Date: | 11/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 3810008043 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WV |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |