Organization
SUMMERSVILLE FAMILY MEDICINE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD S TRENBATH M.D. (PRESIDENT)
(304) 645-4043
Entity
Organization
Contact information
Practice address
211 MERCHANTS WALK, SHOPPING CENTER, SUMMERSVILLE, WV 26651-1901
(304) 645-4043
Mailing address
PO BOX 1049, LEWISBURG, WV 24901-4049
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12758
WV
207QG0300X
Geriatric Medicine (Family Medicine) Physician
12758
WV
Other
Enumeration date
11/30/2011
Last updated
10/10/2016
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