Relymd Medical Group Wv, PLLC
Family Medicine in Charleston, WV. Organization (NPI-2).
NPI number1356954259
StatusActive
Last updated in NPPESOct 14, 2020
Details
- NPI
- 1356954259
- Entity type
- Organization (NPI-2)
- Legal business name
- Relymd Medical Group Wv, PLLC
- Organization subpart
- Yes
- Enumeration date
- Aug 28, 2020
- Certification date
- Oct 14, 2020
- Last updated
- Oct 14, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Other names
- Relymd Medical Group (Doing Business As)
Practice location
1627 Quarrier StCharleston, WV 25311-2124
Phone 855-955-0948
Mailing address
510 Meadowmont Village Cir Ste 323Chapel Hill, NC 27517-7584
Phone 919-932-0928
Authorized official
Ronald Michael Creatore
Cfo/General Counsel
9199320928
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