Legacy Family Medicine LLC
NPI #1043967466 in West Logan, West Virginia
Provider Information
- NPI Number
- 1043967466
- Entity Type
- Organization
- Organization Name
- Legacy Family Medicine LLC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Mar 5, 2022
- Last Updated
- Sep 16, 2025
Practice Location
- Address
- 1113 2ND AVE
- City
- West Logan
- State
- West Virginia
- ZIP Code
- 25601-3309
- Phone
- (304) 752-1900
Authorized Official
- Name
- WENDY WHITE
- Title
- CREDENTIALING SPECIALIST
- Phone
- (304) 688-7027
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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