| Grant Memorial Hospital Family Medicine Clinic | |
|
65 Hospital Dr Suite 106 Petersburg WV 26847-9549 | |
| (304) 257-4511 | |
| (304) 257-4511 |
| Full Name | Grant Memorial Hospital Family Medicine Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 65 Hospital Dr, Petersburg, West Virginia |
| Authorized Official Name and Position | Robert W Milvet (CEO) |
| Authorized Official Contact | 3052575800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grant Memorial Hospital Family Medicine Clinic Po Box 1019 Petersburg WV 26847-1019 Ph: (304) 257-4511 | Grant Memorial Hospital Family Medicine Clinic 65 Hospital Dr Suite 106 Petersburg WV 26847-9549 Ph: (304) 257-4511 |
| NPI Number | 1669885158 |
|---|---|
| Provider Enumeration Date | 06/03/2014 |
| Last Update Date | 03/07/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669885158 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 21 (West Virginia) | Primary |
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