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Organization
PRESTON MEMORIAL MEDICAL GROUP
Active
Organization
PRESTON MEMORIAL MEDICAL GROUP
Active
Other names
Grafton Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELISSA LOCKWOOD (CEO)
(304) 329-4700
Entity
Organization
Contact information
Practice address
500 MARKET STREET, GRAFTON CITY HOSPTIAL, GRAFTON, WV 26354
(304) 265-6400
Mailing address
300 S PRICE ST, KINGWOOD, WV 26537-1442
(304) 329-2830
(304) 791-3737
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007709000
—
WV
01
—
001710365
HOLEHOUSE, JAMES BCBS
WV
Enumeration date
10/20/2006
Last updated
07/29/2009
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