# ADVANCED FAMILY PRACTICE, PLLC

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

## Provider details

- **NPI number:** 1285782037
- **Authorized official:** JANE LUCEY (BILLING MANAGER)
- **Authorized official phone:** (304) 243-7117

## Contact information

- **Practice address:** 1315 MOUNT DE CHANTAL RD, WHEELING, WV 26003-6357
- **Practice address phone:** (304) 243-7117
- **Practice address fax:** (304) 243-5470
- **Mailing address:** 1315 MOUNT DE CHANTAL RD, WHEELING, WV 26003-6357
- **Mailing address phone:** (304) 243-7117
- **Mailing address fax:** (304) 243-5470

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | WV1899, WV1898 | WV | Yes |

## Other

- **Enumeration date:** 01/08/2007
- **Last updated:** 01/23/2024