OrganizationActive
Southern Wv Medical and Surgical Specialists PLLC
NPI 1497103386 · Otolaryngology Physician · Lewisburg, WV
Provider details
- NPI number
- 1497103386
- Entity type
- Organization
- Primary specialty
- Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Justin Douglas, Owner/President(304) 929-6930
- License
- 23770 (WV)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
206 Skylar Dr
Lewisburg, WV 24901-9383
Phone: (681) 318-3540
Fax: (877) 712-1319
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 5482
Beckley, WV 25801-7506
Other names (DBA / former)
- Doing business as
- Southern Wv Ent
Registry dates
- Enumerated
- 2016-06-01
- Last updated
- 2016-06-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.