| Versacare Md, Llc | |
|
1260a Greenbrier St Charleston WV 25311-1002 | |
| (304) 915-2500 | |
| Not Available |
| Full Name | Versacare Md, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1260a Greenbrier St, Charleston, West Virginia |
| Authorized Official Name and Position | Amanda E Mccarty (OWNER/ADMINISTRATOR) |
| Authorized Official Contact | 3046159925 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Versacare Md, Llc 115 Trotters Ln Charleston WV 25312-6770 Ph: () - | Versacare Md, Llc 1260a Greenbrier St Charleston WV 25311-1002 Ph: (304) 915-2500 |
| NPI Number | 1962178269 |
|---|---|
| Provider Enumeration Date | 08/18/2021 |
| Last Update Date | 08/30/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962178269 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207QA0401X | Family Medicine - Addiction Medicine | (* (Not Available)) | Secondary |
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