# RELYMD MEDICAL GROUP WV, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** RELYMD MEDICAL GROUP, LLC
- **Other names:** RelyMD Medical Group
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1356954259
- **Legal business name:** RELYMD MEDICAL GROUP, LLC
- **Authorized official:** RONALD MICHAEL CREATORE (CFO/GENERAL COUNSEL)
- **Authorized official phone:** (919) 932-0928

## Contact information

- **Practice address:** 1627 QUARRIER ST, CHARLESTON, WV 25311-2124
- **Practice address phone:** (855) 955-0948
- **Mailing address:** 510 MEADOWMONT VILLAGE CIR STE 323, CHAPEL HILL, NC 27517-7584
- **Mailing address phone:** (919) 932-0928

## Taxonomy

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

## Other

- **Enumeration date:** 08/28/2020
- **Last updated:** 10/14/2020