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Organization

OAK HILL CLINIC CORP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DEBBIE BREWER (DIRECTOR OF PROVIDER ENROLLMENT)
(877) 892-9813
Entity
Organization

Contact information

Practice address
320 JONES AVE, OAK HILL, WV 25901-2909
(304) 469-2500
Mailing address
PO BOX 848409, BOSTON, MA 02284-8409
(877) 848-1457

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0207845000
WV
Enumeration date
07/18/2005
Last updated
07/21/2022
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