South Charleston Primary Care in South Charleston - Family Medicine

South Charleston Primary Care - NPI 1689758476

South Charleston Primary Care is a Family Medicine in South Charleston, . South Charleston Primary Care practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for South Charleston Primary Care is 1689758476. The last update date is 2020-08-22.

South Charleston Primary Care's current location address is 312 6th Ave, South Charleston, . You can contact this provider via phone number 3047444532 and fax number 3047443219. The mailing address for South Charleston Primary Care is 312 6th Ave, South Charleston, . To know further, please read the information below!

Provider Profile Detail

Provider Organization South Charleston Primary Care
Address 312 6th Ave, South Charleston,
Phone Number 3047444532
Fax Number 3047443219
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OFFICE MAN
Authorized Official Name Coleman Jo Terri
Telephone Number 3047444532

NPI Number Detail

NPI Number 1689758476
Provider Enumeration Date 2006-10-25
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 312 6th Ave
City South Charleston
State (WV)
Post Code 253031242
Phone Number 3047444532
Fax Number 3047443219

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 10611
Definition:
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 i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
9405002 WV --

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FAQs about South Charleston Primary Care

What is the unique identification code assigned to South Charleston Primary Care by the Centers for Medicare & Medicaid Services?

The South Charleston Primary Care has been issued the NPI (National Provider Identifier) 1689758476. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of South Charleston Primary Care?

The South Charleston Primary Care is situated at 312 6Th Ave, in the city of South Charleston, state of WV, with the zip code 253031242.

What is South Charleston Primary Care's area of expertise and its corresponding taxonomy classification?

The South Charleston Primary Care's field of specialization is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1689758476 to South Charleston Primary Care?

The Centers for Medicare & Medicaid Services originally issued the 1689758476 to South Charleston Primary Care on 2006-10-25.

As of what date was the information regarding South Charleston Primary Care, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to South Charleston Primary Care, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.

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