| South Charleston Family Medicine | |
|
401 Division St Ste 205 South Charleston WV 25309-1455 | |
| (304) 768-3941 | |
| (304) 766-4391 |
| Full Name | South Charleston Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 401 Division St, South Charleston, West Virginia |
| Authorized Official Name and Position | Angela D Whitman (OWNER/PHYSICIAN) |
| Authorized Official Contact | 3047683941 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Charleston Family Medicine 401 Division St Ste 205 South Charleston WV 25309-1455 Ph: (304) 768-3941 | South Charleston Family Medicine 401 Division St Ste 205 South Charleston WV 25309-1455 Ph: (304) 768-3941 |
| NPI Number | 1427480953 |
|---|---|
| Provider Enumeration Date | 08/07/2013 |
| Last Update Date | 08/07/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427480953 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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