MOUNTAINEER FAMILY MEDICINE INC. NPI 1295874436

NPI Information

MOUNTAINEER FAMILY MEDICINE, INC. is a family medicine in Charleston, WV. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MOUNTAINEER FAMILY MEDICINE, INC. NPI is 1295874436. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

500 POPLAR ST
SUITE 204
CHARLESTON, WV
ZIP 25309-474
Phone: (304) 767-7840
Fax: (304) 767-7849

The provider's authorized official is Mohamad Samah Kalou .
The authorized official title is Owner and has the following contact phone number (304) 767-7840.

The enumeration date for this NPI number is 2/5/2007 and was last updated on 2/4/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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