Wise Medical Group

NPI #1578603924 in Coeburn, Virginia

Provider Information

NPI Number: 1578603924
Entity Type: Organization
Organization Name: Wise Medical Group
Primary Specialty: Family Medicine
Enumeration Date: Feb 7, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 203 FRONT ST WEST
City: Coeburn
State: Virginia
ZIP Code: 24230
Phone: (276) 395-5983

Authorized Official

Name: DR. ROMULO ABRANTES FAJARDO, MD
Title: PHYSICIAN
Phone: 12763955983

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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