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NPI Code Detail

MEDICARE: MRS. BRANDY MICHELLE DOTY RCS

MEDICARE: MRS. BRANDY MICHELLE DOTY RCS
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
1246XS1301XSonography Specialist/Technologist Cardiovascular

General Provider Information

NPI Number : 1457600819
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. BRANDY MICHELLE DOTY RCS
Provider Business Mailing Address
First Line : 2533 SPRING STREET
Second Line :
City : SOUTH CHARLESTON
State : WV
Zip : 25303
Country : US
Telephone Number : 304-382-5844
Fax Number :
Provider Business Practice Location Address
First Line : 2533 SPRING STREET
Second Line :
City : SOUTH CHARLESTON
State : WV
Zip : 25303-2502
Country : US
Telephone Number : 304-382-5844
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2012
Last Update Date : 08/31/2012

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