Family Medical Clinic of Jane Lew
NPI #1255387064 in Jane Lew, West Virginia
Provider Information
- NPI Number
- 1255387064
- Entity Type
- Organization
- Organization Name
- Family Medical Clinic of Jane Lew
- Primary Specialty
- Family Medicine
- Enumeration Date
- May 25, 2006
- Last Updated
- Dec 17, 2009
Practice Location
- Address
- 134 INDUSTRIAL PARK ROAD
- City
- Jane Lew
- State
- West Virginia
- ZIP Code
- 26378-0880
- Phone
- (304) 884-7880
Authorized Official
- Name
- LILLIE SWISHER, RN
- Title
- OFFICE MANAGER
- Phone
- (304) 884-7880
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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