# FAYETTE PHYSICIAN NETWORK INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SMG Out of State
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437823044
- **Authorized official:** DR. DAVID FREDERICK HESS MD (PRESIDENT/CEO)
- **Authorized official phone:** (724) 430-5000

## Contact information

- **Practice address:** 250 MAPLE ST, FRIENDSVILLE, MD 21531-2122
- **Practice address phone:** (301) 746-4160
- **Practice address fax:** (301) 746-4162
- **Mailing address:** PO BOX 796, MORGANTOWN, WV 26507-0796
- **Mailing address phone:** (800) 541-4009

## Taxonomy

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

## Other

- **Enumeration date:** 08/06/2021
- **Last updated:** 08/06/2021