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Crab Orchard Medical Assoc. Inc.
Specialist in Crab Orchard, West Virginia
NPI 1730378928

Crab Orchard Medical Assoc. Inc. is a Specialist based in Crab Orchard, WV. Crab Orchard Medical Assoc. Inc. practices in Crab Orchard, WV. The NPI Number for Crab Orchard Medical Assoc. Inc. is 1730378928 and holds a License No. 12066 (West Virginia).

The current practice location address for Crab Orchard Medical Assoc. Inc. is 1701 Robert C. Byrd Drive, Crab Orchard, WV and can be reached out via phone at 304-253-8336 and via fax at 304-253-8337.

Location: 1701 Robert C. Byrd Drive, Crab Orchard, WV, 25827-1602
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1730378928
Provider Name
Crab Orchard Medical Assoc. Inc.
Credential
Provider Entity Type
Organization
Address
1701 Robert C. Byrd Drive, Crab Orchard, WV, 25827-1602
Phone Number
304-253-8336
Fax Number
304-253-8337
Provider Enumeration Date
10/24/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0038505000 05 WV
institution
Provider Business Practice Location Address Details
Address
1701 Robert C. Byrd Drive
City
Crab Orchard
State
West Virginia
Zip
25827
Phone Number
304-253-8336
Fax Number
304-253-8337
person
Provider Business Mailing Address Details
Address
1701 Robert C. Byrd Drive
City
Crab Orchard
State
West Virginia
Zip
25827
Phone Number
304-253-8336
Fax Number
304-253-8337
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
12066 (West Virginia)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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