Organization
PRESTON URGENT CARE FAMILY PRACTICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PEGGY S. PHILLIPS (NURSE PRACTITIONER/OWNER)
(304) 329-0555
Entity
Organization
Contact information
Practice address
411 MORGANTOWN ST, KINGWOOD, WV 26537-1095
(304) 329-0555
Mailing address
411 MORGANTOWN ST, KINGWOOD, WV 26537-1095
(304) 329-0555
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
30549
WV
Other
Enumeration date
12/30/2011
Last updated
04/08/2020
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