Organization
GRANT MEMORIAL HOSPITAL
Active
Other names
GRANT MEMORIAL HOSPITALISTS
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS MEZZA (CFO)
(304) 257-5802
Entity
Organization
Contact information
Practice address
117 HOSPITAL DR, PETERSBURG, WV 26847-9566
(304) 257-4331
(304) 257-2891
Mailing address
PO BOX 1019, PETERSBURG, WV 26847-1019
(304) 257-4331
(304) 257-2891
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
06/29/2015
Last updated
01/14/2022
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