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509 4th Ave Saint Albans WV 25177-2824 | |
| (304) 727-6270 | |
| (304) 727-6271 |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 509 4th Ave, Saint Albans, West Virginia |
| Authorized Official Name and Position | Anthony W. Graham (PHYSICIAN) |
| Authorized Official Contact | 3047276270 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
509 4th Ave Saint Albans WV 25177-2824 Ph: (304) 727-6270 | 509 4th Ave Saint Albans WV 25177-2824 Ph: (304) 727-6270 |
| NPI Number | 1629299342 |
|---|---|
| Provider Enumeration Date | 05/01/2007 |
| Last Update Date | 02/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629299342 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 09628 (West Virginia) | Primary |
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