VIOLET PATTY SHACKLEFORD
Individual Provider (NPI-1)
Active
Anesthesiology, Pain Medicine
Provider Information
- NPI Number
1821593724- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1 MEDICAL CENTER DRIVE, ROOM 4601, MORGANTOWN, WV, 26506
- Phone
- (304) 598-0430
Specialties & Taxonomies
Anesthesiology, Pain Medicine
Primary License: KY #59016
Anesthesiology
License: WV #29882
Anesthesiology
License: OH #35.150401