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Organization
SUMMERSVILLE OUTPATIENT CENTER
Active
Organization
SUMMERSVILLE OUTPATIENT CENTER
Active
Other names
Summersville Podiatry Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH A KINCELL (REVENUE CYCLE DIRECTOR)
(304) 883-0220
Entity
Organization
Contact information
Practice address
702 PROFFESSIONAL PARK DR, SUMMERSVILLE, WV 26651-2018
(304) 883-2381
(304) 883-2383
Mailing address
400 FAIRVIEW HEIGHTS RD, SUMMERSVILLE, WV 26651-9308
(304) 872-8402
(304) 872-2080
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
00315
WV
Other
Enumeration date
02/22/2017
Last updated
03/01/2017
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