Organization
APPALACHIANWELLNESS CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARYAM JAFARY RANA PA-C (PHYSIAN ASSISTANT)
(304) 222-5817
Entity
Organization
Contact information
Practice address
425 STANAFORD RD, BECKLEY, WV 25801-3145
(304) 222-5817
Mailing address
56 OSPREY RD, BECKLEY, WV 25801-3684
(304) 222-5817
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
1717
WV
Other
Enumeration date
04/25/2018
Last updated
04/12/2023
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