Organization
MOUNTAINEER FAMILY MEDICINE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA WARNER (BILLING DIRECTOR)
(681) 264-4986
Entity
Organization
Contact information
Practice address
826 COOK PARKWAY, OCEANA, WV 24870
(304) 682-3137
Mailing address
5240 MACCORKLE AVE SE, CHARLESTON, WV 25304-2122
(681) 264-4986
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/05/2024
Last updated
06/05/2024
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