Organization
CHANGE, INC
Active
Other names
FAMILY MEDICAL CARE
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JUDY RAVEAUX (EXECUTIVE DIRECTOR)
(304) 797-7733
Entity
Organization
Contact information
Practice address
3032 MAIN STREET, WEIRTON, WV 26062
(304) 748-2828
(304) 797-0002
Mailing address
3032 MAIN STREET, WEIRTON, WV 26062
(304) 748-2828
(304) 797-0002
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
-001
WV
Other
Enumeration date
07/20/2006
Last updated
07/21/2022
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