Solomon Mapeto Mutetwa, MD | |
111 S Grove St Ste 1, Petersburg, WV 26847-1805 | |
(304) 257-2451 | |
Not Available |
Full Name | Solomon Mapeto Mutetwa |
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Gender | Male |
Speciality | Family Medicine |
Location | 111 S Grove St Ste 1, Petersburg, West Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1417146663 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | MT187984 (Pennsylvania) | Secondary |
207Q00000X | Family Medicine | 0101245581 (Virginia) | Primary |
Entity Name | E.a. Hawse Health Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851359251 PECOS PAC ID: 6204728041 Enrollment ID: O20040326000928 |
Mailing Address | Practice Location Address |
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Solomon Mapeto Mutetwa, MD 5645 Stone Rd, Centreville, VA 20120-1618 Ph: (703) 266-2442 | Solomon Mapeto Mutetwa, MD 111 S Grove St Ste 1, Petersburg, WV 26847-1805 Ph: (304) 257-2451 |
Larry Calvin Rogers, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 7 Memorial Drive, Petersburg, WV 26847 Phone: 304-257-4511 Fax: 304-257-4511 | |
Mark W Puffenberger, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 111 S Grove St Ste 1, Petersburg, WV 26847 Phone: 304-257-2451 Fax: 304-257-1263 | |
Dr. Dewey F Bensenhaver, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Hospital Dr Ste 1, Petersburg, WV 26847 Phone: 304-257-1944 Fax: 304-257-9524 |