Absolute Care Clinic Of South Charleston | |
428 Division St Ste 3b South Charleston WV 25309-1469 | |
(304) 205-5848 | |
Not Available |
Full Name | Absolute Care Clinic Of South Charleston |
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Speciality | Internal Medicine |
Location | 428 Division St Ste 3b, South Charleston, West Virginia |
Authorized Official Name and Position | Anwar Yaha Abdeen (OWNER) |
Authorized Official Contact | 3045461768 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Absolute Care Clinic Of South Charleston 106 Southern Woods Dr Charleston WV 25309-8689 Ph: (304) 546-1768 | Absolute Care Clinic Of South Charleston 428 Division St Ste 3b South Charleston WV 25309-1469 Ph: (304) 205-5848 |
NPI Number | 1285277434 |
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Provider Enumeration Date | 10/21/2019 |
Last Update Date | 10/21/2019 |
Medicare PECOS PAC ID | 1153751888 |
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Medicare Enrollment ID | O20200421002217 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285277434 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | M Anwar Y Abdeen |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1821141763 PECOS PAC ID: 6800885468 Enrollment ID: I20130808000785 |
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