Organization
COMMUNITY HEALTH ASSOCIATION
Active
Other names
Jackson General Care Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA GAIL GREENE (MEDCIAL STAFF COORDINATOR)
(304) 373-1507
Entity
Organization
Contact information
Practice address
509 CHURCH ST S, RIPLEY, WV 25271-1615
(304) 372-2731
Mailing address
122 PINNELL ST, RIPLEY, WV 25271-9101
(304) 372-2731
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/23/2018
Last updated
03/29/2022
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