Organization · NPI-2

Associated Family Practice, INC

Family Medicine · South Charleston, WV

NPI number1043376932
StatusActive
Last updated in NPPESAug 4, 2015

Details

NPI
1043376932
Entity type
Organization (NPI-2)
Legal business name
Associated Family Practice, INC
Organization subpart
No
Enumeration date
Dec 28, 2006
Last updated
Aug 4, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes

Practice location

5220 Maccorkle Ave Sw
South Charleston, WV 25309-1010

Phone 304-720-6735 · Fax 304-720-6737

Mailing address

5220 Maccorkle Ave Sw
S Charleston, WV 25309-1010

Phone 304-720-6735 · Fax 304-720-6737

Authorized official

D Duane Berry
Owner
3047206735

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