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NPI Code Detail

MEDICARE: JOHN ALLEN RATLIFF

MEDICARE: JOHN ALLEN RATLIFF
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
1163WG0000XGeneral Practice Registered Nurse119887WV

General Provider Information

NPI Number : 1346193968
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN ALLEN RATLIFF
Provider Business Mailing Address
First Line : 700 CHAPPELL RD STE 2
Second Line :
City : CHARLESTON
State : WV
Zip : 25304-2704
Country : US
Telephone Number : 304-343-1950
Fax Number :
Provider Business Practice Location Address
First Line : 700 CHAPPELL RD
Second Line :
City : CHARLESTON
State : WV
Zip : 25304-2704
Country : US
Telephone Number : 304-343-1950
Fax Number : 304-343-1947
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/16/2026
Last Update Date : 02/16/2026

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