Individual
MADISON CHASE MCCREARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5493 MAPLE LN, FAYETTEVILLE, WV 25840-6872
(304) 465-1735
(304) 465-1735
Mailing address
252 RURAL ACRES DR, BECKLEY, WV 25801-3503
(304) 253-2628
(304) 252-1720
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3869
WV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/17/2020
Last updated
01/09/2025
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