Organization
SALEM FAMILY MEDICINE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYDIA JEAN SOLOMON (OFFICE MANAGER)
(304) 782-2000
Entity
Organization
Contact information
Practice address
RR 1 BOX 75-1, OLD ROUTE 50 WEST, SALEM, WV 26426-9604
(304) 782-2000
Mailing address
PO BOX 392, SALEM, WV 26426-0392
(304) 782-2000
(304) 782-3102
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
15251
WV
291U00000X
Clinical Medical Laboratory
51D0725830
WV
Other
Enumeration date
06/02/2006
Last updated
03/05/2010
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