Healthcare Provider Details

I. General information

NPI: 1053538090
Provider Name (Legal Business Name): WILLIAM GERARD HOH MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/19/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 RHL BLVD SUITE 201
CHARLESTON WV
25309
US

IV. Provider business mailing address

P.O. BOX 8068
SOUTH CHARLESTON WV
25303
US

V. Phone/Fax

Practice location:
  • Phone: 304-344-9464
  • Fax: 304-344-9469
Mailing address:
  • Phone: 304-344-9464
  • Fax: 304-344-9469

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License Number20471
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: