Organization
PHYSICIAN'S FIRST CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE WHITE (OFFICE MANAGER)
(304) 326-0092
Entity
Organization
Contact information
Practice address
200 ROUTE 98 W ST, SUITE 103, NUTTER FORT, WV 26301-4385
(304) 326-0092
(304) 623-1073
Mailing address
200 ROUTE 98 W ST, SUITE 103, NUTTER FORT, WV 26301-4385
(304) 326-0092
(304) 623-1073
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
21580W
WV
208000000X
Pediatrics Physician
21580W
WV
Other
Enumeration date
05/12/2011
Last updated
05/31/2011
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