|
| |
|
226 Skylar Dr Lewisburg WV 24901-9383 | |
| (304) 647-9971 | |
| (304) 647-9973 |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 226 Skylar Dr, Lewisburg, West Virginia |
| Authorized Official Name and Position | Charles Scott Mcclung (OWNER/PHYSICIAN) |
| Authorized Official Contact | 3046479971 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 1849 Lewisburg WV 24901-4849 Ph: (304) 647-9971 | 226 Skylar Dr Lewisburg WV 24901-9383 Ph: (304) 647-9971 |
| NPI Number | 1497944607 |
|---|---|
| Provider Enumeration Date | 10/24/2007 |
| Last Update Date | 08/11/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497944607 | NPI | - | NPPES |
| 5630417000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 1484 (West Virginia) | Primary |
New Covenant Pediatric Center, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Rr 2 Box 375g, Lewisburg, WV 24901 Phone: 304-645-8009 Fax: 304-645-8011 | |
Greenbrier Vmc Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Rr 2 Box 171-c, Greyrock Professional Park, Lewisburg, WV 24901 Phone: 304-793-2059 | |
Mary Lou Fragile Do Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Rr 2 Box 171c, Greyrock Prof Park, Lewisburg, WV 24901 Phone: 304-647-3331 Fax: 304-647-9799 | |
Fritz's Pharmacy Ii Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1318 Jefferson Street North, Suite #2, Lewisburg, WV 24901 Phone: 304-645-7447 |