# FAYETTE PHYSICIAN NETWORK INC

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

## Provider details

- **NPI number:** 1174476295
- **Authorized official:** JAMES JONES (ACCOUNTING)
- **Authorized official phone:** (304) 282-1611

## Contact information

- **Practice address:** 1085 VAN VOORHIS RD STE 130, MORGANTOWN, WV 26505-3497
- **Practice address phone:** (304) 599-2273
- **Mailing address:** PO BOX 796, MORGANTOWN, WV 26507-0796

## Taxonomy

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

## Other

- **Enumeration date:** 02/18/2026
- **Last updated:** 02/18/2026