Organization
ORTHOCLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK K HALL (PRACTICE ADMINISTRATOR)
(304) 766-7515
Entity
Organization
Contact information
Practice address
610 CHESTNUT ST, SOUTH CHARLESTON, WV 25309-1251
(304) 766-7515
(304) 766-7566
Mailing address
610 CHESTNUT ST, SOUTH CHARLESTON, WV 25309-1251
(304) 766-7515
(304) 766-7566
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
13599
WV
Other
Enumeration date
12/13/2006
Last updated
08/22/2020
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