Organization
PRINCETON COMMUNITY HOSPITAL ASSN., INC
Active
Other names
dba Athens Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OMAR R KASSEM MD (PHYSICIAN)
(304) 384-7325
Entity
Organization
Contact information
Practice address
401 VERMILLION ST., ATHENS, WV 24712
(304) 384-7325
(304) 384-8870
Mailing address
PO BOX 697, ATHENS, WV 24712-0697
(304) 384-7325
(304) 384-8870
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20079
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0034866000
—
WV
Enumeration date
08/24/2006
Last updated
12/08/2023
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