SOUTH CHARLESTON PRIMARY CARE
Organization (NPI-2)
Active
Family Medicine
Provider Information
- NPI Number
1689758476- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 312 6TH AVE SUITE 3, SOUTH CHARLESTON, WV, 253031242
- Phone
- (304) 744-4532
- Fax
- (304) 744-3219
Specialties & Taxonomies
Family Medicine
Primary License: WV #10611