| Sub-clinic, Inc | |
|
5240 1/2 Mccorkle Ave Se Charleston WV 25304 | |
| (304) 926-2300 | |
| (304) 926-2304 |
| Full Name | Sub-clinic, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 5240 1/2 Mccorkle Ave Se, Charleston, West Virginia |
| Authorized Official Name and Position | Mohamad S Kalou (OWNER) |
| Authorized Official Contact | 3049262300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sub-clinic, Inc 5240 1/2 Mccorkle Ave Se Charleston WV 25304 Ph: (304) 926-2300 | Sub-clinic, Inc 5240 1/2 Mccorkle Ave Se Charleston WV 25304 Ph: (304) 926-2300 |
| NPI Number | 1285011544 |
|---|---|
| Provider Enumeration Date | 05/06/2015 |
| Last Update Date | 05/06/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285011544 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 22493 (West Virginia) | Primary |
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