| Bridge Road Primary Care | |
|
1545 Bridge Rd Charleston WV 25314-1949 | |
| (304) 437-9705 | |
| Not Available |
| Full Name | Bridge Road Primary Care |
|---|---|
| Speciality | Clinic/center |
| Location | 1545 Bridge Rd, Charleston, West Virginia |
| Authorized Official Name and Position | Erica D Gunnoe (NURSE PRACTITIONER) |
| Authorized Official Contact | 3044379705 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridge Road Primary Care 1545 Bridge Rd Charleston WV 25314-1949 Ph: (304) 437-9705 | Bridge Road Primary Care 1545 Bridge Rd Charleston WV 25314-1949 Ph: (304) 437-9705 |
| NPI Number | 1912652454 |
|---|---|
| Provider Enumeration Date | 02/14/2022 |
| Last Update Date | 02/14/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912652454 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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