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65 Hospital Dr Suite 106 Petersburg WV 26847-9549 | |
(304) 257-4511 | |
(304) 257-4511 |
Full Name | |
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Speciality | Family Medicine |
Location | 65 Hospital Dr, Petersburg, West Virginia |
Authorized Official Name and Position | Robert W Milvet (CEO) |
Authorized Official Contact | 3052575800 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 1019 Petersburg WV 26847-1019 Ph: (304) 257-4511 | 65 Hospital Dr Suite 106 Petersburg WV 26847-9549 Ph: (304) 257-4511 |
NPI Number | 1669885158 |
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Provider Enumeration Date | 06/03/2014 |
Last Update Date | 03/07/2019 |
Identifier | Type | State | Issuer |
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1669885158 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 21 (West Virginia) | Primary |
South Branch Hospitalist And Internal Medicine Group Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 65 Hospital Dr Ste 102, Petersburg, WV 26847 Phone: 304-257-2527 Fax: 304-257-1469 | |
Dewey F Bensenhaver Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Hc 30 Box 95, Petersburg, WV 26847 Phone: 304-257-1456 | |