Doctor Name: | THERESA LYNN SEARS |
NPI Number: | 1982707246 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | 0110002363 |
Business Practice Address: | 1109 Greenbrier Street Rupert, WV - 259841210 |
Business Phone Number: | 3043925381 |
Business Fax Number: | 3043925351 |
Mailing Address: | Po Box 1210, RUPERT |
State: | WV |
Postal Code: | 259841210 |
Phone Number: | 3043925381 |
Fax Number: | 3043925351 |
NPI Enumeration Date: | 09/05/2006 |
NPI Last Update Date: | 12/05/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 0110002363 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | VA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |