Organization
HARNED MEMORIAL MEDICAL CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MAX A HARNED MD FAAFP PHD (PRESIDENT)
(304) 379-2114
Entity
Organization
Contact information
Practice address
ONE MEMORIAL DRIVE, RT 26 NORTH, BRUCETON MILLS, WV 26525
(304) 379-2114
(304) 379-7929
Mailing address
ONE MEMORIAL DRIVE, BRUCETON MILLS, WV 26525
(304) 379-2114
(304) 379-7929
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0034502000
—
WV
Enumeration date
11/02/2006
Last updated
08/22/2020
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