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Organization
TEAYS VALLEY FAMILY MEDICINE, INC.
Active
Organization
TEAYS VALLEY FAMILY MEDICINE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES BUKOVINSKY MD (PRESIDENT OWNER)
(304) 562-8505
Entity
Organization
Contact information
Practice address
3520 TEAYS VALLEY RD, SUITE 1, HURRICANE, WV 25526-9479
(304) 562-8505
(304) 562-8507
Mailing address
3520 TEAYS VALLEY RD, SUITE #1, HURRICANE, WV 25526-9479
(304) 562-8505
(304) 562-8507
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/30/2005
Last updated
04/25/2008
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