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Organization
PRESTIGE PRIMARY CARE ASSOCIATES, PLLC
Active
Organization
PRESTIGE PRIMARY CARE ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANKLIN SCOTT MOORE D.O. (OWNER)
(304) 768-0700
Entity
Organization
Contact information
Practice address
4501 MACCORKLE AVE SW, SUITE 301, SOUTH CHARLESTON, WV 25309-1444
(304) 768-0700
(304) 768-9790
Mailing address
4501 MACCORKLE AVE SW, SUITE 301, SOUTH CHARLESTON, WV 25309-1444
(304) 768-0700
(304) 768-9790
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1212
WV
207R00000X
Internal Medicine Physician
1390
WV
Other
Enumeration date
03/15/2007
Last updated
10/16/2007
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