Priddy, Myra D.

Priddy, Myra D. is an individual health care provider with primary practice located at 315 Fairview Heights Rd , Summersville WV 26651-1086. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Priddy, Myra D. can be contacted via phone (304) 872-5213.

Contact Information

Primary practice address
315 Fairview Heights Rd Summersville WV 26651-1086
Phone: (304) 872-5213
Fax: (304) 872-5893
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 19575 West Virginia
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 19575 West Virginia

Profile Details

NPI number 1952448532
LBN Legal business name Priddy, Myra D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2007
Last updated Dec 9th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952448532 NPPES
West Virginia MEDICAID 20150000

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