ADVANCED SPECIALTIES P LLC NPI 1861801078

NPI Information

  • NPI: 1861801078
  • Provider Name: ADVANCED SPECIALTIES, P LLC
  • Classification: Urology - 208800000X
  • Entity Type: Organization
  • Doing Business As: ADVANCED UROLOGY
  • Address: 1717 HARPER RD
    3RD FLOOR, SUITE A
    BECKLEY, WV
    ZIP 25801
  • Phone: (304) 461-3879

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NPI Details

ADVANCED SPECIALTIES, P LLC is an urology in Beckley, WV. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. ADVANCED SPECIALTIES, P LLC NPI is 1861801078. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Advanced Urology.

The provider's business location address is:

1717 HARPER RD
3RD FLOOR, SUITE A
BECKLEY, WV
ZIP 25801-373
Phone: (304) 461-3879
Fax: (304) 461-3848

The provider's authorized official is Lynnetta Faith Payne .
The authorized official title is Owner and has the following contact phone number (304) 461-3879.

The enumeration date for this NPI number is 8/13/2014 and was last updated on 9/19/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208800000XUrology2330WEST VIRGINIAYes

What is NPI?

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This page was last updated on: 11/21/2025

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