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NPI Code Detail

MEDICARE: MRS. SUSAN RAY STEWART AMINISTRATOR

MEDICARE:  MRS. SUSAN RAY STEWART  AMINISTRATOR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1386839868
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SUSAN RAY STEWART AMINISTRATOR
Provider Business Mailing Address
First Line : 130 GEORGE ST STE J
Second Line :
City : BECKLEY
State : WV
Zip : 25801-2648
Country : US
Telephone Number : 336-570-1748
Fax Number : 336-570-0905
Provider Business Practice Location Address
First Line : 130 GEORGE ST STE J
Second Line :
City : BECKLEY
State : WV
Zip : 25801-2648
Country : US
Telephone Number : 336-570-1748
Fax Number : 336-570-0905
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2007
Last Update Date : 09/10/2025

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Directions to “ MRS. SUSAN RAY STEWART AMINISTRATOR” Practice Location

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