# MOUNTAINEER FAMILY MEDICINE INC

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

## Provider details

- **NPI number:** 1124813415
- **Authorized official:** VICTORIA WARNER (BILLING DIRECTOR)
- **Authorized official phone:** (681) 264-4986

## Contact information

- **Practice address:** 310 GEORGE ST, BECKLEY, WV 25801-2653
- **Practice address phone:** (681) 207-3652
- **Mailing address:** 3258 POTOMAC HIGHLANDS TRL, DUNMORE, WV 24934-9727

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/09/2025
- **Last updated:** 04/09/2025