PRESTIGE PRIMARY CARE ASSOCIATES, PLLC
Organization (NPI-2)
Active
Family Medicine
Provider Information
- NPI Number
1790819373- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 4501 MACCORKLE AVE SW SUITE 301, SOUTH CHARLESTON, WV, 253091444
- Phone
- (304) 768-0700
- Fax
- (304) 768-9790
Specialties & Taxonomies
Internal Medicine
License: WV #1390
Family Medicine
Primary License: WV #1212