| Bridgeport Family Healthcare | |
|
120 Medical Park Dr Ste 300 Bridgeport WV 26330-9012 | |
| (304) 624-7200 | |
| (304) 423-5302 |
| Full Name | Bridgeport Family Healthcare |
|---|---|
| Speciality | Family Medicine |
| Location | 120 Medical Park Dr, Bridgeport, West Virginia |
| Authorized Official Name and Position | Michael Tillman (CEO) |
| Authorized Official Contact | 6813421600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridgeport Family Healthcare 527 Medical Park Dr Ste 400 Bridgeport WV 26330-9008 Ph: (681) 342-3500 | Bridgeport Family Healthcare 120 Medical Park Dr Ste 300 Bridgeport WV 26330-9012 Ph: (304) 624-7200 |
| NPI Number | 1992155097 |
|---|---|
| Provider Enumeration Date | 06/20/2016 |
| Last Update Date | 06/20/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992155097 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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