Healthcare Provider Details

I. General information

NPI: 1891577458
Provider Name (Legal Business Name): ROBERT C GURNEY
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/18/2023
Last Update Date: 10/18/2023
Certification Date: 10/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2947 JEFFERSON ST N STE 2
LEWISBURG WV
24901-5796
US

IV. Provider business mailing address

2947 JEFFERSON ST N STE 2
LEWISBURG WV
24901-5796
US

V. Phone/Fax

Practice location:
  • Phone: 304-645-7420
  • Fax:
Mailing address:
  • Phone: 304-645-7420
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: