Fayette Medical Services Pllc
NPI #1417390154 in Fayetteville, West Virginia
Provider Information
- NPI Number
- 1417390154
- Entity Type
- Organization
- Organization Name
- Fayette Medical Services Pllc
- Primary Specialty
- Clinic/Center - Urgent Care
- Enumeration Date
- Apr 11, 2013
- Last Updated
- Apr 11, 2013
Practice Location
- Address
- 5447 MAPLE LN STE B
- City
- Fayetteville
- State
- West Virginia
- ZIP Code
- 25840-6872
- Phone
- (304) 574-6900
Authorized Official
- Name
- DR. DERON JOHN HAMMACK, D.O.
- Title
- OWNER
- Phone
- (304) 574-6900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Urgent Care — Urgent Care |
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