Basic Information
Provider Information
NPI: 1851336531
EntityType: 2
ReplacementNPI:  
OrganizationName: DR. RHONDA GUY & ASSOCIATES
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
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Mailing Information
Address1: 425 STANAFORD ROAD
Address2:  
City: BECKLEY
State: WV
PostalCode: 25801
CountryCode: US
TelephoneNumber: 3042552878
FaxNumber: 3042551764
Practice Location
Address1: 425 STANAFORD ROAD
Address2:  
City: BECKLEY
State: WV
PostalCode: 25801
CountryCode: US
TelephoneNumber: 3042552878
FaxNumber: 3042551764
Other Information
ProviderEnumerationDate: 06/18/2006
LastUpdateDate: 07/03/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: GUY
AuthorizedOfficialFirstName: RHONDA
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition: OWNER/PHYSICIAN
AuthorizedOfficialTelephone: 3042552878
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential: D.O.
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000X  Y193400000X SINGLE SPECIALTY GROUPAllopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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