# PRESTON MEMORIAL MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** WEST PRESTON FAMILY PLANNING
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639408495
- **Authorized official:** MRS. MELISSA LOCKWOOD (PRESIDENT AND CEO)
- **Authorized official phone:** (304) 329-1400

## Contact information

- **Practice address:** 12302 VETERAN'S MEMORIAL HIGHWAY, REEDSVILLE, WV 26547
- **Practice address phone:** (304) 864-7393
- **Practice address fax:** (304) 864-2827
- **Mailing address:** 300 S PRICE ST, KINGWOOD, WV 26537-1442
- **Mailing address phone:** (304) 329-1400
- **Mailing address fax:** (304) 329-1175

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | WV | Yes |

## Other

- **Enumeration date:** 12/08/2009
- **Last updated:** 12/08/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3810015728 | — | WV |