| Eden Family Practice Inc. | |
|
313 Hudgins St Suite 200 Logan WV 25601-3535 | |
| (304) 752-9450 | |
| Not Available |
| Full Name | Eden Family Practice Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 313 Hudgins St, Logan, West Virginia |
| Authorized Official Name and Position | Patty Radcliffe (CFO) |
| Authorized Official Contact | 6148769233 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eden Family Practice Inc. 3306 Bridget Dr Columbus OH 43221-4431 Ph: (614) 876-9233 | Eden Family Practice Inc. 313 Hudgins St Suite 200 Logan WV 25601-3535 Ph: (304) 752-9450 |
| NPI Number | 1821049776 |
|---|---|
| Provider Enumeration Date | 05/15/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821049776 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 1939 (West Virginia) | Primary |
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