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Organization
PRESTON MEMORIAL MEDICAL GROUP
Active
Organization
PRESTON MEMORIAL MEDICAL GROUP
Active
Other names
WEST PRESTON FAMILY PLANNING
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELISSA LOCKWOOD (PRESIDENT AND CEO)
(304) 329-1400
Entity
Organization
Contact information
Practice address
12302 VETERAN'S MEMORIAL HIGHWAY, REEDSVILLE, WV 26547
(304) 864-7393
(304) 864-2827
Mailing address
300 S PRICE ST, KINGWOOD, WV 26537-1442
(304) 329-1400
(304) 329-1175
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810015728
—
WV
Enumeration date
12/08/2009
Last updated
12/08/2009
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