Main Street Medical Center, Pllc | |
619 Main St W Ripley WV 25271-1107 | |
(304) 372-8088 | |
Not Available |
Full Name | Main Street Medical Center, Pllc |
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Speciality | Pediatrics |
Location | 619 Main St W, Ripley, West Virginia |
Authorized Official Name and Position | Debbie Oneil (OFFICE MANAGER) |
Authorized Official Contact | 3043728088 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Main Street Medical Center, Pllc 619 Main St W Ripley WV 25271-1107 Ph: (304) 372-8088 | Main Street Medical Center, Pllc 619 Main St W Ripley WV 25271-1107 Ph: (304) 372-8088 |
NPI Number | 1205036738 |
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Provider Enumeration Date | 07/23/2007 |
Last Update Date | 11/14/2011 |
Identifier | Type | State | Issuer |
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1205036738 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 2013 (West Virginia) | Secondary |
208000000X | Pediatrics | 2013 (West Virginia) | Primary |
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