| Hospitalist Medicine Physicians Of Kanawha County, Pllc | |
|
4605 Maccorkle Ave Sw South Charleston WV 25309-1311 | |
| (330) 493-4443 | |
| (330) 493-8677 |
| Full Name | Hospitalist Medicine Physicians Of Kanawha County, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4605 Maccorkle Ave Sw, South Charleston, West Virginia |
| Authorized Official Name and Position | David C Packo (PRESIDENT) |
| Authorized Official Contact | 3304934443 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hospitalist Medicine Physicians Of Kanawha County, Pllc 4535 Dressler Rd Nw Canton OH 44718-2545 Ph: (330) 493-4443 | Hospitalist Medicine Physicians Of Kanawha County, Pllc 4605 Maccorkle Ave Sw South Charleston WV 25309-1311 Ph: (330) 493-4443 |
| NPI Number | 1043259989 |
|---|---|
| Provider Enumeration Date | 06/06/2006 |
| Last Update Date | 10/24/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043259989 | NPI | - | NPPES |
| 2284666 | Medicaid | OH | |
| 0202840000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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