Sub-Clinic, INC

NPI #1285011544 in Charleston, West Virginia

Provider Information

NPI Number: 1285011544
Entity Type: Organization
Organization Name: Sub-Clinic, INC
Primary Specialty: Family Medicine
Enumeration Date: May 6, 2015
Last Updated: May 6, 2015

Practice Location

Address: 5240 1/2 MCCORKLE AVE SE
City: Charleston
State: West Virginia
ZIP Code: 25304
Phone: (304) 926-2300

Authorized Official

Name: MR. MOHAMAD S KALOU, MD
Title: OWNER
Phone: (304) 926-2300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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