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46 Middleway Pike Inwood WV 25428-3713 | |
(304) 229-4318 | |
(304) 229-1794 |
Full Name | |
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Speciality | Clinic/center |
Location | 46 Middleway Pike, Inwood, West Virginia |
Authorized Official Name and Position | Glenn C Mann (DISTRICT MANAGER) |
Authorized Official Contact | 7006001524 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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46 Middleway Pike Inwood WV 25428-3713 Ph: (304) 229-4318 | 46 Middleway Pike Inwood WV 25428-3713 Ph: (304) 229-4318 |
NPI Number | 1225428568 |
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Provider Enumeration Date | 01/26/2015 |
Last Update Date | 01/26/2015 |
Identifier | Type | State | Issuer |
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1225428568 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
West Virginia University Medical Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5047 Gerrardstown Rd Ste 2b, Inwood, WV 25428 Phone: 304-821-1444 Fax: 304-821-1470 |