Organization
SUMMERSVILLE PEDIATRICS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOYCE A MCCLUNG (OFFICE MANAGER)
(304) 872-7063
Entity
Organization
Contact information
Practice address
400 FAIRVIEW HEIGHTS RD, SUITE 302, SUMMERSVILLE, WV 26651-9308
(304) 872-7063
(304) 872-7080
Mailing address
400 FAIRVIEW HEIGHTS RD, SUITE 302, SUMMERSVILLE, WV 26651-9308
(304) 872-7063
(304) 872-7080
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
01157
WV
Other
Enumeration date
03/09/2006
Last updated
09/19/2007
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