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Organization
MOUNTAINEER FAMILY CARE CENTER
Active
Organization
MOUNTAINEER FAMILY CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORN WOLFE MD (AUTHORIZED OFFICIAL)
(304) 290-8874
Entity
Organization
Contact information
Practice address
318 S MOUNTAINEER HWY, THORNTON, WV 26440-7152
(304) 290-8874
Mailing address
318 S MOUNTAINEER HWY, THORNTON, WV 26440-7152
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
08/04/2016
Last updated
08/04/2016
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