Western Greenbrier Internal Medicine Pllc

NPI #1538331053 in Rainelle, West Virginia

Provider Information

NPI Number: 1538331053
Entity Type: Organization
Organization Name: Western Greenbrier Internal Medicine Pllc
Primary Specialty: Internal Medicine
Enumeration Date: Mar 25, 2008
Last Updated: Mar 25, 2008

Practice Location

Address: 512 MAIN STREET
City: Rainelle
State: West Virginia
ZIP Code: 25962
Phone: (304) 438-5550

Authorized Official

Name: PHILLIP E JARVIS, MD
Title: PHYSICIAN OWNER
Phone: (304) 438-5550

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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