Healthcare Provider Details

I. General information

NPI: 1114989894
Provider Name (Legal Business Name): FRANCKE AND NUNLEY M.D.'S P.L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/06/2006
Last Update Date: 10/19/2021
Certification Date: 10/19/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1220 LEE ST E STE 203
CHARLESTON WV
25301-1864
US

IV. Provider business mailing address

1220 LEE ST E STE 203
CHARLESTON WV
25301-1864
US

V. Phone/Fax

Practice location:
  • Phone: 304-343-4124
  • Fax: 304-343-4167
Mailing address:
  • Phone: 304-343-4124
  • Fax: 304-343-4167

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code156FX1800X
TaxonomyOptician
License Number
License Number StateWV
# 2
Primary TaxonomyY
Taxonomy Code332H00000X
TaxonomyEyewear Supplier
License Number
License Number State

VIII. Authorized Official

Name: CONNIE S FRAZIER
Title or Position: OFFICE MANAGER
Credential:
Phone: 304-343-4124