Organization
WYTHVILLE MANAGEMENT CONSULTANTS LLC,
Active
Other names
PHYSICIAN QUICK CARE PLUS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JIM M MATTHEWS (MANAGER)
(304) 253-5793
Entity
Organization
Contact information
Practice address
75 SENECA TRL STE 8, GREENBRIER VALLEY MALL, LEWISBURG, WV 24901-1579
(304) 647-3434
(304) 647-9789
Mailing address
PO BOX 787, CRAB ORCHARD, WV 25827-0787
(304) 253-5793
(304) 253-0166
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0207163000
—
WV
01
—
DA3056
RR MCARE
WV
Enumeration date
11/02/2005
Last updated
03/10/2008
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