Organization
NEIGHBORHOOD FAMILY MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER JO ROBERTS (OFFICE MANAGER)
(304) 637-8907
Entity
Organization
Contact information
Practice address
630 ROBERT E LEE AVE, ELKINS, WV 26241-3211
(304) 637-8907
(304) 637-3592
Mailing address
630 ROBERT E LEE AVE, ELKINS, WV 26241-3211
(304) 637-8907
(304) 637-3592
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
WV 1917
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810011254
—
WV
01
—
DB5584
RAILROAD MEDICARE
WV
Enumeration date
10/24/2007
Last updated
04/20/2008
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