Five Oaks Family Clinic, Inc.

NPI 1841247368 - Clinic/Center - 261QP2300X

NPI Details
NPI 1841247368
Enumeration Date 05/29/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name MARK DOUGLAS MARK
Position PRESIDENT
Phone (304) 574-1888
Fax (304) 574-1891
Practice Location
RR 3 BOX 458E
FAYETTEVILLE WV, 25840-9589, US
Phone (304) 574-1888
Fax (304) 574-1891
Business Location
RR 3 BOX 458E
FAYETTEVILLE WV, 25840-9589, US
Phone (304) 574-1888
Fax (304) 574-1891
Toxanomy
Taxonomy Code 261QP2300X
License State West Virginia
License Number 14161
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According to our database, Five Oaks Family Clinic, Inc. NPI is 1841247368, taxonomy code is 261QP2300X and license number is 14161, license state is located at West Virginia. Five Oaks Family Clinic, Inc. physically located at Rr 3 Box 458e, Fayetteville WV, 25840-9589. NPI Number 1033115704 has the healthcare provider type.

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1841247368 NPI number is provided on an as is basis without warranty of any kind. 1841247368 is maintained by the National Plan & Provider Enumeration System. The contents of Five Oaks Family Clinic, Inc. are for informational purposes only.