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Organization
GRANT MEMORIAL HOSPITAL
Active
Organization
GRANT MEMORIAL HOSPITAL
Active
Other names
Grant Memorial Hospital Family Medicine Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT W MILVET JR. (CEO)
(305) 257-5800
Entity
Organization
Contact information
Practice address
65 HOSPITAL DR, SUITE 106, PETERSBURG, WV 26847-9549
(304) 257-4511
(304) 257-4511
Mailing address
PO BOX 1019, PETERSBURG, WV 26847-1019
(304) 257-4511
(304) 257-4511
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21
WV
Other
Enumeration date
06/03/2014
Last updated
03/07/2019
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