Jefferson Cardiology And Internal Medicine | |
323 N Jefferson St Lewisburg WV 24901-1116 | |
(304) 645-3280 | |
(304) 645-3307 |
Full Name | Jefferson Cardiology And Internal Medicine |
---|---|
Speciality | Internal Medicine - Cardiovascular Disease |
Location | 323 N Jefferson St, Lewisburg, West Virginia |
Authorized Official Name and Position | Rebecca Hurley (SENIOR VICE PRESIDENT) |
Authorized Official Contact | 2144733993 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Jefferson Cardiology And Internal Medicine Po Box 496 Ronceverte WV 24970-0496 Ph: (304) 645-3280 | Jefferson Cardiology And Internal Medicine 323 N Jefferson St Lewisburg WV 24901-1116 Ph: (304) 645-3280 |
NPI Number | 1639216021 |
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Provider Enumeration Date | 02/01/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639216021 | NPI | - | NPPES |
0106041002 | Medicaid | WV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
207RC0000X | Internal Medicine - Cardiovascular Disease | (* (Not Available)) | Primary |
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