Fairmont Medical Group, Inc.
NPI #1588800866 in Shinnston, West Virginia
Provider Information
- NPI Number
- 1588800866
- Entity Type
- Organization
- Organization Name
- Fairmont Medical Group, Inc.
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- FAIRMONT MEDICAL GROUP, INC.
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- Dec 17, 2008
- Last Updated
- Dec 17, 2008
Practice Location
- Address
- 1 COLUMBIA RD
- City
- Shinnston
- State
- West Virginia
- ZIP Code
- 26431-1016
- Phone
- (304) 367-8710
Authorized Official
- Name
- MS. NANCY L. VANDERGRIFT
- Title
- PRESIDENT
- Phone
- (304) 367-8740
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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