VIOLET PATTY SHACKLEFORD

MORGANTOWN, WV
NPI1821593724
Former NameVIOLET SAVANNAH PATTY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207LP2900X Anesthesiology, Pain Medicine
(Licence: KY  59016)
Additional Taxonomies207L00000X Anesthesiology
(Licence: WV  29882)
Enumeration Date2018-03-24
Last Update Date2024-05-21
Business Address
VIOLET PATTY SHACKLEFORD
1 MEDICAL CENTER DRIVE, ROOM 4601
MORGANTOWN, WV 26506
Phone number: 304-598-0430
Mailing Address
VIOLET PATTY SHACKLEFORD
1 MEDICAL CENTER DRIVE, ROOM 4601 PO BOX 9238
MORGANTOWN, WV 26506
Phone number: 304-598-0430