| Grayson Family Medicine | |
|
77 Hospital Dr Doctors Park Suite D Logan WV 25601-3451 | |
| (304) 752-9290 | |
| Not Available |
| Full Name | Grayson Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 77 Hospital Dr, Logan, West Virginia |
| Authorized Official Name and Position | Nicole Lackey Dillon (PRESIDENT) |
| Authorized Official Contact | 3047529290 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Grayson Family Medicine 77 Hospital Dr Ste D Logan WV 25601-3451 Ph: (304) 752-9290 | Grayson Family Medicine 77 Hospital Dr Doctors Park Suite D Logan WV 25601-3451 Ph: (304) 752-9290 |
| NPI Number | 1396092508 |
|---|---|
| Provider Enumeration Date | 08/07/2012 |
| Last Update Date | 08/18/2022 |
| Medicare PECOS PAC ID | 0749438679 |
|---|---|
| Medicare Enrollment ID | O20120918000334 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396092508 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 21324 (West Virginia) | Primary |
| Provider Name | Nicole L Dillon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730118431 PECOS PAC ID: 6709775737 Enrollment ID: I20040315001060 |
Carlton L W Herald Do Pc Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 77 Hospital Dr, Suite 100, Logan, WV 25601 Phone: 304-831-2061 Fax: 304-831-2063 | |
Southern West Virgina Health System-logan Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 122 Nick Savas Drive, Logan, WV 25601 Phone: 304-752-8081 Fax: 304-752-8083 | |
Legacy Family Medicine Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 214 Hanging Rock Hwy, Logan, WV 25601 Phone: 304-784-4495 Fax: 304-688-9020 | |
Main Street Family Practice, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 533 Main St, Logan, WV 25601 Phone: 304-752-3400 Fax: 304-752-8138 | |
Ovp Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 557 Main St, Logan, WV 25601 Phone: 740-752-3435 Fax: 740-753-3436 | |
Absolute Care Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 112 Bridge St, Logan, WV 25601 Phone: 304-896-5025 Fax: 304-896-5058 | |
Living Waters Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 100 Main Ave, Logan, WV 25601 Phone: 304-946-8350 |