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Organization

FIVE OAKS FAMILY CLINIC, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARK DOUGLAS WHITE MD (PRESIDENT)
(304) 574-1890
Entity
Organization

Contact information

Practice address
RR 3 BOX 458E, FAYETTEVILLE, WV 25840-9589
(304) 574-1888
(304) 574-1891
Mailing address
RR 3 BOX 458E, FAYETTEVILLE, WV 25840-9589
(304) 574-1888
(304) 574-1891

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
14161
WV

Other

Enumeration date
05/29/2006
Last updated
08/22/2020
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