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Organization

CHARLESTON FAMILY PRACTICE GROUP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MALCOLM L. CHANEY M.D. (PRESIDENT)
(304) 342-8513
Entity
Organization

Contact information

Practice address
1220 LEE ST E STE 201, CHARLESTON, WV 25301-1864
(304) 342-8513
(304) 342-8147
Mailing address
1220 LEE ST E STE 201, CHARLESTON, WV 25301-1864
(304) 342-8513
(304) 342-8147

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11909
WV

Other

Enumeration date
06/30/2006
Last updated
02/27/2020
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