Provider Demographics
NPI:1720694623
Name:NAYLOR, JAMES PAUL
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:PAUL
Last Name:NAYLOR
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2373 PEACHTREE RD
Mailing Address - Street 2:
Mailing Address - City:NAOMA
Mailing Address - State:WV
Mailing Address - Zip Code:25140-9767
Mailing Address - Country:US
Mailing Address - Phone:304-854-4197
Mailing Address - Fax:
Practice Address - Street 1:2350 PEACHTREE RD
Practice Address - Street 2:
Practice Address - City:NAOMA
Practice Address - State:WV
Practice Address - Zip Code:25140-9765
Practice Address - Country:US
Practice Address - Phone:304-854-2506
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-17
Last Update Date:2020-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant