institution
Whitehall Medical Pllc
General Practice Physician in Fairmont, West Virginia
NPI 1659432631

Whitehall Medical Pllc is a General Practice Physician based in Fairmont, WV. Whitehall Medical Pllc practices in Fairmont, WV. The NPI Number for Whitehall Medical Pllc is 1659432631 and holds a License No. 1552 (West Virginia).

The current practice location address for Whitehall Medical Pllc is 177 Middletown Rd, Fairmont, WV and can be reached out via phone at 304-363-6600 and via fax at 304-363-7700.

Location: 177 Middletown Rd, Fairmont, WV, 26554-8216
institution
Provider Profile Details
NPI Number
1659432631
Provider Name
Whitehall Medical Pllc
Credential
Provider Entity Type
Organization
Address
177 Middletown Rd, Fairmont, WV, 26554-8216
Phone Number
304-363-6600
Fax Number
304-363-7700
Provider Enumeration Date
12/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2411485 01 WV GROUP
3810006289 05 WV
001711083 01 WV GROUP BCBS
institution
Provider Business Practice Location Address Details
Address
177 Middletown Rd
City
State
Zip
26554-8216
Phone Number
304-363-6600
Fax Number
304-363-7700
person
Provider Business Mailing Address Details
Address
177 Middletown Rd
City
State
Zip
26554-8216
Phone Number
304-363-6600
Fax Number
304-363-7700
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
1552 (West Virginia)
Definition
Definition to come...
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