| NPI Details | |
|---|---|
| NPI | 1013071711 |
| Enumeration Date | 12/20/2006 |
| Last Updated | 07/08/2007 |
| Entity Type | Healthcare Provider |
| Active | Over 11 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 |
| Remove 1013071711 NPI Number | |
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.
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