Janet N. Wallace, Md, Inc. | |
2703 3rd Ave Huntington WV 25702-1303 | |
(304) 697-0554 | |
(304) 697-0555 |
Full Name | Janet N. Wallace, Md, Inc. |
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Speciality | Clinic/center |
Location | 2703 3rd Ave, Huntington, West Virginia |
Authorized Official Name and Position | Janet N Wallace (PRESIDENT) |
Authorized Official Contact | 3046970554 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Janet N. Wallace, Md, Inc. 2703 3rd Ave Huntington WV 25702-1303 Ph: (304) 697-0554 | Janet N. Wallace, Md, Inc. 2703 3rd Ave Huntington WV 25702-1303 Ph: (304) 697-0554 |
NPI Number | 1255499638 |
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Provider Enumeration Date | 12/05/2006 |
Last Update Date | 11/13/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255499638 | NPI | - | NPPES |
0046053000 | Medicaid | WV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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