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Living Waters Medical Center
Primary Care Clinic/Center in Logan, West Virginia
NPI 1114585619

Living Waters Medical Center is a Primary Care Clinic/Center based in Logan, WV and is specialized in Primary Care. Living Waters Medical Center practices in Logan, WV. The NPI Number for Living Waters Medical Center is 1114585619 and holds a License No. (West Virginia).

The current practice location address for Living Waters Medical Center is 100 Main Ave, Logan, WV and can be reached out via phone at 304-946-8350.

Location: 100 Main Ave, Logan, WV, 25601-3323
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1114585619
Provider Name
Living Waters Medical Center
Credential
Provider Entity Type
Organization
Address
100 Main Ave, Logan, WV, 25601-3323
Phone Number
304-946-8350
Fax Number
Provider Enumeration Date
05/31/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
100 Main Ave
City
Logan
State
West Virginia
Zip
25601-3323
Phone Number
304-946-8350
Fax Number
person
Provider Business Mailing Address Details
Address
100 Main Ave
City
Logan
State
West Virginia
Zip
25601-3323
Phone Number
304-946-8350
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
()
Definition
Definition to come...
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