Organization
FAYETTE MEDICAL SERVICES PLLC
Active
Other names
Fayetteville Urgent Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DERON JOHN HAMMACK D.O. (OWNER)
(304) 574-6900
Entity
Organization
Contact information
Practice address
5447 MAPLE LN STE B, FAYETTEVILLE, WV 25840-6872
(304) 574-6900
(304) 574-6922
Mailing address
5447 MAPLE LN STE B, FAYETTEVILLE, WV 25840-6872
(304) 574-6900
(304) 574-6922
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
2487
WV
Other
Enumeration date
04/11/2013
Last updated
04/11/2013
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