Family Medical Clinic of Jane Lew (epsdt)
NPI #1144308040 in Jane Lew, West Virginia
Provider Information
- NPI Number
- 1144308040
- Entity Type
- Organization
- Organization Name
- Family Medical Clinic of Jane Lew (epsdt)
- Primary Specialty
- Family Medicine
- Enumeration Date
- Nov 1, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 134 INDUSTRIAL PARK RD
- City
- Jane Lew
- State
- West Virginia
- ZIP Code
- 26378
- Phone
- (304) 884-7880
Authorized Official
- Name
- LILLIE SWISHER
- Title
- OFFICE MANAGER
- Phone
- (304) 884-7880
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