Organization
PRESTON MEMORIAL MEDICAL GROUP
Active
Other names
Grafton Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELISSA LOCKWOOD (CEO)
(304) 329-4700
Entity
Organization
Contact information
Practice address
500 MARKET STREET, GRAFTON CITY HOSPTIAL, GRAFTON, WV 26354
(304) 265-6400
Mailing address
300 S PRICE ST, KINGWOOD, WV 26537-1442
(304) 329-2830
(304) 791-3737
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007709000
—
WV
01
—
001710365
HOLEHOUSE, JAMES BCBS
WV
Enumeration date
10/20/2006
Last updated
07/29/2009
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