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Organization
CENTER FOR ALTERNATIVE MEDICINE
Active
Organization
CENTER FOR ALTERNATIVE MEDICINE
Active
Other names
Center for Alternative Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN PATRICK MACCALLUM MD (PHYSICIAN)
(304) 757-3368
Entity
Organization
Contact information
Practice address
300B PRESTIGE PARK DR, HURRICANE, WV 25526-8419
(304) 757-3368
(304) 757-2402
Mailing address
300B PRESTIGE PARK DR, HURRICANE, WV 25526-8419
(304) 757-3368
(304) 757-2402
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
10463012
WV
207Q00000X
Family Medicine Physician
Primary
10463012
WV
2084P0800X
Psychiatry Physician
10463012
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001710972
BLUE CROSS BLUE SHIELD
WV
05
—
0116818000
—
WV
Enumeration date
04/24/2007
Last updated
11/18/2011
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