| Total Life Family Practice Center Inc | |
|
118 12th Street Ext Princeton WV 24740-2352 | |
| (304) 425-9568 | |
| (304) 425-2744 |
| Full Name | Total Life Family Practice Center Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 118 12th Street Ext, Princeton, West Virginia |
| Authorized Official Name and Position | Debbie R Chambers (OFFICE MGR) |
| Authorized Official Contact | 3044259568 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Total Life Family Practice Center Inc 118 12th Street Princeton WV 24740-2352 Ph: (304) 425-9568 | Total Life Family Practice Center Inc 118 12th Street Ext Princeton WV 24740-2352 Ph: (304) 425-9568 |
| NPI Number | 1043377559 |
|---|---|
| Provider Enumeration Date | 01/03/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043377559 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 11841 (West Virginia) | Primary |
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