Four Seasons Family Practice

NPI 1750497145 - Family Medicine - 207Q00000X

NPI Details
NPI 1750497145
Enumeration Date 08/21/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name NANCY A NANCY
Position PHYSICIAN/OWNER
Phone (304) 431-7100
Fax (304) 431-7112
Practice Location
904 HARRISON ST
PRINCETON WV, 24740-3011, US
Phone (304) 431-7100
Fax (304) 431-7112
Business Location
PO BOX 1050
PRINCETON WV, 24740-1050, US
Phone (304) 431-7100
Fax (304) 431-7112
Toxanomy
Taxonomy Code 207Q00000X
License State West Virginia
License Number 16854
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According to our database, Four Seasons Family Practice NPI is 1750497145, taxonomy code is 207Q00000X and license number is 16854, license state is located at West Virginia. Four Seasons Family Practice physically located at 904 Harrison St, Princeton WV, 24740-3011. NPI Number 1033115704 has the healthcare provider type.

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1750497145 NPI number is provided on an as is basis without warranty of any kind. 1750497145 is maintained by the National Plan & Provider Enumeration System. The contents of Four Seasons Family Practice are for informational purposes only.