OrganizationActive
Mountain State Ent & Facial Plastic Surgery, Inc
NPI 1982604997 · Medical Specialty Clinic/Center · Beckley, WV
Provider details
- NPI number
- 1982604997
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Albert Paine, Owner; President
- License
- 006769 (WV)
Practice location
78 Brookshire Ln
Beckley, WV 25801-6765
Phone: (304) 255-2341
Fax: (304) 255-2343
Mailing address
78 Brookshire Ln
Beckley, WV 25801-6765
Registry dates
- Enumerated
- 2005-08-01
- Last updated
- 2024-03-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.