Clay Rural Medical Clinic Pllc

NPI 1013071711 - General Practice - 208D00000X

NPI Details
NPI 1013071711
Enumeration Date 12/20/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name SHARON SAHEB SHARON
Position OWNER
Phone (304) 587-2636
Fax (304) 587-4789
Practice Location
43 MAIN STREET
CLAY WV, 25043, US
Phone (304) 587-2636
Fax (304) 587-4789
Business Location
43 MAIN STREET
CLAY WV, 25043, US
Phone (304) 587-2636
Fax (304) 587-4789
Toxanomy
Taxonomy Code 208D00000X
License State West Virginia
License Number 10485
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According to our database, Clay Rural Medical Clinic Pllc NPI is 1013071711, taxonomy code is 208D00000X and license number is 10485, license state is located at West Virginia. Clay Rural Medical Clinic Pllc physically located at 43 Main Street, Clay WV, 25043. NPI Number 1033115704 has the healthcare provider type.

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1013071711 NPI number is provided on an as is basis without warranty of any kind. 1013071711 is maintained by the National Plan & Provider Enumeration System. The contents of Clay Rural Medical Clinic Pllc are for informational purposes only.