| Wv Phs Medical Corporation | |
|
200 Association Dr Suite 140 Charleston WV 25311-1278 | |
| (901) 261-4858 | |
| (901) 261-4867 |
| Full Name | Wv Phs Medical Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 200 Association Dr, Charleston, West Virginia |
| Authorized Official Name and Position | Nicole Howard (CFO) |
| Authorized Official Contact | 3379919276 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wv Phs Medical Corporation 1509 Dulles Drive Lafayette LA 70506 Ph: (337) 991-9276 | Wv Phs Medical Corporation 200 Association Dr Suite 140 Charleston WV 25311-1278 Ph: (901) 261-4858 |
| NPI Number | 1881907004 |
|---|---|
| Provider Enumeration Date | 07/16/2010 |
| Last Update Date | 07/02/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881907004 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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