MANCHIN CLINIC SOUTH, LLC is a clinic center in Fairmont, WV. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). MANCHIN CLINIC SOUTH, LLC NPI is 1265605208. The provider is registered as an organization entity type.
The provider's business location address is:
181 MIDDLETOWN CIRCLE
FAIRMONT, WV
ZIP 26554
Phone: (304) 367-9170
Fax: (304) 367-9180
The provider's authorized official is John Manchin .
The authorized official title is Sole Member and has the following contact phone number (304) 367-9170.
The CLIA number assigned to this NPI record is 51D1082418 - physician office with a certificate type of Certificate of Compliance.
The enumeration date for this NPI number is 4/10/2008 and was last updated on 5/21/2008.