# TOTAL LIFE FAMILY PRACTICE CENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043377559
- **Authorized official:** DEBBIE R CHAMBERS (OFFICE MGR)
- **Authorized official phone:** (304) 425-9568

## Contact information

- **Practice address:** 118 12TH STREET EXT, PRINCETON, WV 24740-2352
- **Practice address phone:** (304) 425-9568
- **Practice address fax:** (304) 425-2744
- **Mailing address:** 118 12TH STREET, PRINCETON, WV 24740-2352
- **Mailing address phone:** (304) 425-9568
- **Mailing address fax:** (304) 425-2744

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 11841 | WV | Yes |

## Other

- **Enumeration date:** 01/03/2007
- **Last updated:** 08/22/2020