TIM THISTLETHWAITE, M.D. PLLC

CHARLESTON, WV
NPI1386738508
Entity TypeOrganization
Authorized ContactTIM L THISTLETHWAITE
Owner
304-205-5207
Organization Subpart ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: WV  17498)
Additional Taxonomies101YP2500X Counselor, Professional
(Licence: WV  1225)
Enumeration Date2006-10-03
Last Update Date2013-10-04
Business Address
TIM THISTLETHWAITE, M.D. PLLC
100 PEYTON WAY SUITE 100
CHARLESTON, WV 25309-8767
Phone number: 304-205-5207
Mailing Address
TIM THISTLETHWAITE, M.D. PLLC
100 PEYTON WAY SUITE 100
CHARLESTON, WV 25309-8767
Phone number: 304-205-5207