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Organization

WEIRTON MEDICAL CENTER INC

Active
Parent organization
WEIRTON MEDICAL CENTER INC
Other names
Carl Jones, DO
Organization subpart
Yes

Provider details

NPI number
Legal business name
WEIRTON MEDICAL CENTER INC
Authorized official
CARL JONES DO (STAFF)
(304) 723-3093
Entity
Organization

Contact information

Practice address
651 COLLIERS WAY, SUITE 511, WEIRTON, WV 26062-5053
(304) 723-3093
Mailing address
PO BOX 2411, WEIRTON, WV 26062-1611
(304) 723-6040

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
1707
WV
208600000X
Surgery Physician
21706
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0001352005
WV
05
2124338
OH
05
6000020000
WV
05
9298808
OH
Enumeration date
06/12/2007
Last updated
12/31/2007
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