Provider Demographics
NPI:1457356545
Name:GUY, RHONDA M (DO)
Entity Type:Individual
Prefix:
First Name:RHONDA
Middle Name:M
Last Name:GUY
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:RHONDA
Other - Middle Name:UNDERWOOD
Other - Last Name:GUY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:230 GEORGE ST STE 2
Mailing Address - Street 2:
Mailing Address - City:BECKLEY
Mailing Address - State:WV
Mailing Address - Zip Code:25801-2620
Mailing Address - Country:US
Mailing Address - Phone:304-255-2878
Mailing Address - Fax:304-255-1764
Practice Address - Street 1:230 GEORGE ST STE 2
Practice Address - Street 2:
Practice Address - City:BECKLEY
Practice Address - State:WV
Practice Address - Zip Code:25801-2620
Practice Address - Country:US
Practice Address - Phone:304-255-2878
Practice Address - Fax:304-255-1764
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-16
Last Update Date:2020-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV1594207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV550592791OtherUMWA
WV550592791OtherCIGNA
VA010110441Medicaid
WV550592791OtherTRICARE
WV550592791-004OtherBSMT-WV
WV1060082OtherWVWC
WV230106OtherCARELINK
WV550592791OtherAETNA
WV0054910000Medicaid
WV0054910000Medicaid
WV230106OtherCARELINK
WV550592791OtherAETNA