OrganizationActive
Advanced Specialties, P LLC
NPI 1861801078 · Urology Physician · Beckley, WV
Provider details
- NPI number
- 1861801078
- Entity type
- Organization
- Primary specialty
- Urology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Lynnetta Payne, Owner(304) 461-3879
- License
- 2330 (WV)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1717 Harper Rd
3rd Floor, Suite a
Beckley, WV 25801-3373
Phone: (304) 461-3879
Fax: (304) 461-3848
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 5417
Beckley, WV 25801-7505
Other names (DBA / former)
- Doing business as
- Advanced Urology
Registry dates
- Enumerated
- 2014-08-13
- Last updated
- 2014-09-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.