RICKY MCDANIELS

SOUTH CHARLESTON, WV
NPI1700297207
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: WV  1112738)
Enumeration Date2014-05-19
Last Update Date2014-05-19
Business Address
-- RICKY MCDANIELS PA-C
4607 MACCORKLE AVE SW STE 300
SOUTH CHARLESTON, WV 25309-1364
Phone number: 304-768-3688
Mailing Address
-- RICKY MCDANIELS PA-C
4607 MACCORKLE AVE SW STE 300
SOUTH CHARLESTON, WV 25309-1364
Phone number: 304-768-3688