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Organization

ST. GEORGE MEDICAL CLINIC INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. PAUL WAMSLEY JR. (CEO)
(304) 478-3339
Entity
Organization

Contact information

Practice address
8591 HOLLY MEADOWS RD, PARSONS, WV 26287-8604
(304) 478-3339
(304) 478-3311
Mailing address
8591 HOLLY MEADOWS RD, PARSONS, WV 26287-8604
(304) 478-3339
(304) 478-3311

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0035139000
WV
Enumeration date
09/20/2006
Last updated
01/22/2014
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