| |
42 Mcginnis Dr Wayne WV 25570-9553 | |
(304) 272-5136 | |
(304) 272-6261 |
Full Name | |
---|---|
Speciality | Family Medicine |
Location | 42 Mcginnis Dr, Wayne, West Virginia |
Authorized Official Name and Position | Richard Weinberger (CHIEF FINANCIAL OFFICER) |
Authorized Official Contact | 3045253334 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
2585 3rd Ave Huntington WV 25703-1642 Ph: (304) 525-3334 | 42 Mcginnis Dr Wayne WV 25570-9553 Ph: (304) 272-5136 |
NPI Number | 1558630160 |
---|---|
Provider Enumeration Date | 12/28/2011 |
Last Update Date | 01/17/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558630160 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 13536 (West Virginia) | Primary |