Organization
MAIN STREET MEDICAL CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE ONEIL (OFFICE MANAGER)
(304) 372-8088
Entity
Organization
Contact information
Practice address
619 MAIN ST W, RIPLEY, WV 25271-1107
(304) 372-8088
Mailing address
619 MAIN ST W, RIPLEY, WV 25271-1107
(304) 372-8088
(304) 372-8609
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2013
WV
208000000X
Pediatrics Physician
Primary
2013
WV
Other
Enumeration date
07/23/2007
Last updated
11/14/2011
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