Organization
ADVANCED FAMILY PRACTICE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANE LUCEY (BILLING MANAGER)
(304) 243-7117
Entity
Organization
Contact information
Practice address
1315 MOUNT DE CHANTAL RD, WHEELING, WV 26003-6357
(304) 243-7117
(304) 243-5470
Mailing address
1315 MOUNT DE CHANTAL RD, WHEELING, WV 26003-6357
(304) 243-7117
(304) 243-5470
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
WV1899, WV1898
WV
Other
Enumeration date
01/08/2007
Last updated
01/23/2024
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