Organization
POZEGA WELLNESS CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY C POZEGA DO (OWNER)
(304) 925-7001
Entity
Organization
Contact information
Practice address
5324 MACCORKLE AVE SE, CHARLESTON, WV 25304-2222
(304) 925-7001
(304) 925-7234
Mailing address
5324 MACCORKLE AVE SE, CHARLESTON, WV 25304-2222
(304) 925-7001
(304) 925-7234
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
1512
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0111573001
—
WV
Enumeration date
10/02/2007
Last updated
10/02/2007
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