Cross Lanes Family Practice, Inc.
NPI #1205906625 in Cross Lanes, West Virginia
Provider Information
- NPI Number
- 1205906625
- Entity Type
- Organization
- Organization Name
- Cross Lanes Family Practice, Inc.
- Primary Specialty
- Family Medicine
- Enumeration Date
- Nov 9, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 5480 BIG TYLER RD
- City
- Cross Lanes
- State
- West Virginia
- ZIP Code
- 25313-1116
- Phone
- (304) 776-2409
Authorized Official
- Name
- GREGORY C STONESTREET, MD
- Title
- PRESIDENT
- Phone
- (304) 776-2409
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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