| Family Medical Center | |
|
25 Mallard Ct Beckley WV 25801-3664 | |
| (304) 929-6020 | |
| Not Available |
| Full Name | Family Medical Center |
|---|---|
| Speciality | Family Medicine |
| Location | 25 Mallard Ct, Beckley, West Virginia |
| Authorized Official Name and Position | Gary L. Poling (SOLE PROPRIETOR) |
| Authorized Official Contact | 3049296020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medical Center 25 Mallard Ct Beckley WV 25801-3664 Ph: (304) 929-6020 | Family Medical Center 25 Mallard Ct Beckley WV 25801-3664 Ph: (304) 929-6020 |
| NPI Number | 1003093212 |
|---|---|
| Provider Enumeration Date | 01/30/2008 |
| Last Update Date | 01/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003093212 | NPI | - | NPPES |
| 0053014000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | WV1221 (West Virginia) | Primary |
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