Organization
FAMILY MEDICAL CLINIC OF JANE LEW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LILLIE SWISHER RN (OFFICE MANAGER)
(304) 884-7880
Entity
Organization
Contact information
Practice address
134 INDUSTRIAL PARK ROAD, JANE LEW, WV 26378-0880
(304) 884-7880
(304) 884-8902
Mailing address
PO BOX 880, JANE LEW, WV 26378-0880
(304) 884-7880
(304) 884-8902
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/25/2006
Last updated
12/17/2009
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