Family Care Plus Pllc | |
320 Red Oaks Shopping Ctr Ronceverte WV 24970-1364 | |
(304) 689-4488 | |
Not Available |
Full Name | Family Care Plus Pllc |
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Speciality | Family Medicine |
Location | 320 Red Oaks Shopping Ctr, Ronceverte, West Virginia |
Authorized Official Name and Position | Eleonora I Grey (PRESIDENT) |
Authorized Official Contact | 3049200025 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Family Care Plus Pllc 320 Red Oaks Shopping Ctr Ronceverte WV 24970-1364 Ph: () - | Family Care Plus Pllc 320 Red Oaks Shopping Ctr Ronceverte WV 24970-1364 Ph: (304) 689-4488 |
NPI Number | 1871114546 |
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Provider Enumeration Date | 05/04/2020 |
Last Update Date | 07/27/2020 |
Medicare PECOS PAC ID | 8426472564 |
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Medicare Enrollment ID | O20200722000112 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871114546 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Eleonora I Grey |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1053604728 PECOS PAC ID: 5193033405 Enrollment ID: I20151007001136 |
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