Organization
GRAND CENTRAL FAMILY MEDICINE, P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID W AVERY M.D. (OWNER)
(304) 422-3400
Entity
Organization
Contact information
Practice address
418 GRAND PK DR, SUITE 312, PARKERSBURG, WV 26101-0000
(304) 422-3400
(304) 422-7893
Mailing address
418 GRAND PK DR, SUITE 312, PARKERSBURG, WV 26101-0000
(304) 422-3400
(304) 422-7893
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
03/29/2006
Last updated
10/12/2007
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