Organization
PRESTON MEMORIAL MEDICAL GROUP
Active
Other names
WEST PRESTON FAMILY PLANNING
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELISSA LOCKWOOD (PRESIDENT AND CEO)
(304) 329-1400
Entity
Organization
Contact information
Practice address
12302 VETERAN'S MEMORIAL HIGHWAY, REEDSVILLE, WV 26547
(304) 864-7393
(304) 864-2827
Mailing address
300 S PRICE ST, KINGWOOD, WV 26537-1442
(304) 329-1400
(304) 329-1175
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810015728
—
WV
Enumeration date
12/08/2009
Last updated
12/08/2009
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