| Potomac Integrative Health Pllc | |
|
51 Maddex Square Drive Shepherdstown WV 25443-4310 | |
| (304) 876-2447 | |
| Not Available |
| Full Name | Potomac Integrative Health Pllc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 51 Maddex Square Drive, Shepherdstown, West Virginia |
| Authorized Official Name and Position | David Didden (SOLE MEMBER) |
| Authorized Official Contact | 3048762447 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Potomac Integrative Health Pllc Po Box 1311 51 Maddex Square Drive Shepherdstown WV 25443-1311 Ph: () - | Potomac Integrative Health Pllc 51 Maddex Square Drive Shepherdstown WV 25443-4310 Ph: (304) 876-2447 |
| NPI Number | 1639412398 |
|---|---|
| Provider Enumeration Date | 04/01/2013 |
| Last Update Date | 04/01/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639412398 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 21679 (West Virginia) | Primary |
Potomac Integrative Health Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 207 S Princess Street, Suite 11, Shepherdstown, WV 25443 Phone: 304-579-4746 Fax: 304-579-4673 | |
Healing Ways Healthcare, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 207 S Princess Street Suite 11, Shepherdstown, WV 25443 Phone: 304-261-0313 Fax: 304-876-2001 |